Individual
DR. YIBO CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2075
(757) 953-5318
Mailing address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-4444
(703) 260-0116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101262299
VA
2085R0202X
Diagnostic Radiology Physician
66958
CT
390200000X
Student in an Organized Health Care Education/Training Program
63177
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61377
—
NY
Enumeration date
05/16/2012
Last updated
06/20/2022
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