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Individual

DR. YAN GAO

Active
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Individual

DR. YAN GAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD208413
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD61498398
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139178
BCBS
VA
01
65379
OPTIMA
VA
05
7248628
VA
05
89066HP
NC
01
P00044367
RR MEDICARE
VA
Enumeration date
12/01/2005
Last updated
10/11/2024
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