Provider Demographics
NPI:1396720272
Name:YANG, HOYEOL (MD)
Entity type:Individual
Prefix:
First Name:HOYEOL
Middle Name:
Last Name:YANG
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 1:98 COLUMBIA POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4375
Mailing Address - Country:US
Mailing Address - Phone:509-946-3636
Mailing Address - Fax:509-946-3737
Practice Address - Street 1:98 COLUMBIA POINT DR
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4375
Practice Address - Country:US
Practice Address - Phone:509-946-3636
Practice Address - Fax:509-946-3737
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA36684207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1116052Medicaid
OR297625Medicaid
F33886Medicare UPIN
WA1116052Medicaid