Provider Demographics
NPI:1851305395
Name:YOON, DONALD D (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:D
Last Name:YOON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 WHITE HEAD LANE
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2716
Mailing Address - Country:US
Mailing Address - Phone:412-372-5000
Mailing Address - Fax:412-372-5001
Practice Address - Street 1:108 WHITE HEAD LANE
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2716
Practice Address - Country:US
Practice Address - Phone:412-372-5000
Practice Address - Fax:412-372-5001
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036851Y208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAY0055439Medicare ID - Type Unspecified
B34520Medicare UPIN