Provider Demographics
NPI:1710136791
Name:DURHAM VAMC/DUKE UNIVERSITY MEDICAL CENTER
Entity Type:Organization
Organization Name:DURHAM VAMC/DUKE UNIVERSITY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESEARCH ASSOCIATE, SR
Authorized Official - Prefix:
Authorized Official - First Name:MING
Authorized Official - Middle Name:
Authorized Official - Last Name:YAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-684-9984
Mailing Address - Street 1:MSRB II 106 RESEARCH DR
Mailing Address - Street 2:ROOM 2018,
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-9984
Mailing Address - Fax:
Practice Address - Street 1:MSRB II 106 RESEARCH DR
Practice Address - Street 2:ROOM 2018,
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-9984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory