Provider Demographics
NPI:1649372756
Name:YANG, DANIEL T (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:T
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 1:9631 N. NEVADA STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1134
Mailing Address - Country:US
Mailing Address - Phone:509-489-4040
Mailing Address - Fax:509-489-9190
Practice Address - Street 1:9631 N NEVADA ST STE 300
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1193
Practice Address - Country:US
Practice Address - Phone:509-489-4040
Practice Address - Fax:509-489-9190
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00042479207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1118959Medicaid
WA1649372756OtherNPI
WADH1103OtherRAILROAD MEDICARE GROUP NUMBER
178539OtherL&I
WA1134301989OtherNPI CORP
WAP00472574OtherRAILROAD MEDICARE PTAN
WA8853289OtherMEDICARE GROUP PIN
I00724Medicare UPIN
WA8853290Medicare PIN