Individual
YA GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2817 WESTBROOK DR APT 308, FORT WAYNE, IN 46805-2026
(540) 892-9039
Mailing address
2817 WESTBROOK DR APT 308, FORT WAYNE, IN 46805-2026
(540) 892-9039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11023064A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2023
Last updated
07/21/2023
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