Provider Demographics
NPI:1790480119
Name:YONG, BUHNDEH
Entity Type:Individual
Prefix:
First Name:BUHNDEH
Middle Name:
Last Name:YONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14006 BARKHAM CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5442
Mailing Address - Country:US
Mailing Address - Phone:240-650-1689
Mailing Address - Fax:
Practice Address - Street 1:14006 BARKHAM CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5442
Practice Address - Country:US
Practice Address - Phone:240-650-1689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker