Provider Demographics
NPI:1740588680
Name:GE, YUQIANG (MD, PHD)
Entity Type:Individual
Prefix:MR
First Name:YUQIANG
Middle Name:
Last Name:GE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:MR
Other - First Name:YIQUANG
Other - Middle Name:
Other - Last Name:GE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:305 E GRANGER AVE, STE 202
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350
Mailing Address - Country:US
Mailing Address - Phone:209-526-1606
Mailing Address - Fax:209-526-1677
Practice Address - Street 1:305 E GRANGER AVE, STE 202
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350
Practice Address - Country:US
Practice Address - Phone:209-526-1606
Practice Address - Fax:209-526-1677
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WAMD60320777207RN0300X
CAA136950207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program