Organization
DIANNA YAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA YAN M.D. (OWNER)
(301) 963-0900
Entity
Organization
Contact information
Practice address
8909 SHADY GROVE CT, GAITHERSBURG, MD 20877-1308
(301) 963-0900
(301) 963-9694
Mailing address
8909 SHADY GROVE CT, GAITHERSBURG, MD 20877-1308
(301) 963-0900
(301) 963-9694
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D43385
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133049
MEDICARE PTAN
MD
05
—
755631400
—
MD
Enumeration date
06/30/2009
Last updated
07/07/2009
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