Individual
DR. SHIQING YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
292133
NY
207R00000X
Internal Medicine Physician
292133-01
NY
208M00000X
Hospitalist Physician
01071074A
IN
208M00000X
Hospitalist Physician
Primary
292133
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000767683
ANTHEM PROVIDER NUMBER
IN
05
—
201067320
—
IN
Enumeration date
05/10/2012
Last updated
06/10/2025
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