Provider Demographics
NPI:1952393506
Name:YAO, SHENG-KUN (MD)
Entity type:Individual
Prefix:DR
First Name:SHENG-KUN
Middle Name:
Last Name:YAO
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 1:9440 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-779-3355
Mailing Address - Fax:713-779-2606
Practice Address - Street 1:9440 BELLAIRE BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:713-779-3355
Practice Address - Fax:713-779-2606
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3881207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113699603Medicaid
G55716Medicare UPIN
TXG55716Medicare UPIN
0076CAMedicare ID - Type Unspecified
TX113699603Medicaid