Basic Information
Provider Information
NPI: 1427267707
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YANG
FirstName: LIMIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.B.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 HAWKINS DR
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193564374
FaxNumber: 3193562220
Practice Location
Address1: 200 HAWKINS DR
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193564374
FaxNumber: 3193562220
Other Information
ProviderEnumerationDate: 05/22/2007
LastUpdateDate: 06/29/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XR-7187IAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X38019IAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085B0100X38019IAN Allopathic & Osteopathic PhysiciansRadiologyBody Imaging
2085U0001X38019IAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound

No ID Information.


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