Individual
FAN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7160 RAFAEL RIVERA WAY STE 210, LAS VEGAS, NV 89113-5395
(702) 878-0070
(702) 805-0307
Mailing address
PO BOX 840857, DALLAS, TX 75284-0857
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
22733
NV
207L00000X
Anesthesiology Physician
Primary
72101
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094337
—
WI
Enumeration date
04/08/2018
Last updated
06/29/2023
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