Provider Demographics
NPI:1629410071
Name:NG, PEARLLY PUI YING (MD)
Entity Type:Individual
Prefix:
First Name:PEARLLY
Middle Name:PUI YING
Last Name:NG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-2679
Mailing Address - Country:US
Mailing Address - Phone:801-860-6783
Mailing Address - Fax:
Practice Address - Street 1:DIVISION OF EMERGENCY MEDICINE
Practice Address - Street 2:30 N 1900 E 1C026
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-860-6783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program