Provider Demographics
NPI:1912054735
Name:YANG, EDDY SHIH-HSIN (MD)
Entity Type:Individual
Prefix:
First Name:EDDY
Middle Name:SHIH-HSIN
Last Name:YANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SHIH-HSIN
Other - Middle Name:
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1717 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-1801
Practice Address - Country:US
Practice Address - Phone:859-257-7618
Practice Address - Fax:859-257-4060
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL302842085R0001X
KYTP3282085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051108250OtherBCBS
AL120732Medicaid
AL120730Medicaid
AL051108252OtherBCBS
AL051108251OtherBCBS
AL120736Medicaid
AL120742Medicaid
AL051108249OtherBCBS
MS03626090Medicaid
AL120737Medicaid
AL120743Medicaid
AL051108247OtherBCBS
AL051108248OtherBCBS
AL102I922033Medicare PIN