Individual
DR. RUSSELL YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 LILIHA ST STE 101, HONOLULU, HI 96817-3169
(808) 376-2100
(808) 465-3200
Mailing address
1650 LILIHA ST STE 101, HONOLULU, HI 96817-3169
(808) 376-2100
(808) 465-3200
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036-121941
IL
207RG0100X
Gastroenterology Physician
Primary
16824
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A462490
BLUE SHIELD
CA
05
—
00A462490
—
CA
01
—
00A462490197
CAL OPTIMA
CA
05
—
036121941
—
IL
01
—
110069446
RAILROAD MEDICARE
CA
01
—
1356390009
GROUP NPI
CA
01
—
CE1617
GROUP RAILROAD MEDICARE
CA
01
—
GR0016910
GROUP MEDICAID PIN
CA
01
—
W11675
GROUP MEDICARE PIN
CA
Enumeration date
06/24/2006
Last updated
04/25/2018
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