Basic Information
| Provider Information | |||||||||
| NPI: | 1528085123 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YEN | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | CHIH-MAI | ||||||||
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| Credential: | MD FACP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 821 N EUTAW ST | ||||||||
| Address2: | SUITE 401 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103833464 | ||||||||
| FaxNumber: | 4103833468 | ||||||||
| Practice Location | |||||||||
| Address1: | 827 LINDEN AVE | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102258947 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | D0012761 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.