Individual
CHARLES QIYAO YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3497
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3497
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101260963
VA
207Y00000X
Otolaryngology Physician
2024042478
MO
Other
Enumeration date
04/09/2015
Last updated
01/16/2025
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