Individual
EDWARD KWANG YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 709-5051
(937) 709-5050
Mailing address
PO BOX 750243, DAYTON, OH 45475-0243
(937) 709-5051
(937) 709-5050
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01074532A
IN
2085R0202X
Diagnostic Radiology Physician
11631
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01102011
—
OH
05
—
1487840872
—
HI
05
—
1487840872
—
MI
05
—
201255740
—
IN
Enumeration date
09/19/2007
Last updated
11/22/2024
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