Provider Demographics
NPI:1609820935
Name:HUANG, YING (MD)
Entity Type:Individual
Prefix:DR
First Name:YING
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12693 TRIADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1115
Mailing Address - Country:US
Mailing Address - Phone:410-531-3783
Mailing Address - Fax:
Practice Address - Street 1:3444 ELLICOTT CENTER DR
Practice Address - Street 2:#101
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4170
Practice Address - Country:US
Practice Address - Phone:410-750-2229
Practice Address - Fax:410-750-7605
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00557142080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH16034Medicare UPIN