Provider Demographics
NPI:1982334991
Name:YAO, NENGLIANG (PHD)
Entity Type:Individual
Prefix:DR
First Name:NENGLIANG
Middle Name:
Last Name:YAO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5513 BURBERRY LN
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5379
Mailing Address - Country:US
Mailing Address - Phone:814-380-1251
Mailing Address - Fax:
Practice Address - Street 1:5513 BURBERRY LN
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5379
Practice Address - Country:US
Practice Address - Phone:814-380-1251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty