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Individual

LLOYD RONG KUNG YEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13201 GRANGER RD STE 2, GARFIELD HTS, OH 44125-1979
(216) 475-8844
(216) 475-3816
Mailing address
24701 EUCLID AVE, EUCLID, OH 44117-1714
(216) 475-8844
(216) 475-3816

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35075673
OH
208000000X
Pediatrics Physician
Primary
35-075673
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221330
UNISON
OH
01
000000526187
ANTHEM
OH
01
2134890
BCMH
OH
05
2134890
OH
01
364156
WELLCARE
OH
01
5141724
AETNA
OH
01
732600
BUCKEYE
OH
Enumeration date
06/08/2006
Last updated
07/28/2011
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