Provider Demographics
NPI:1447547427
Name:PEAKS, YA-SIN (MD)
Entity type:Individual
Prefix:
First Name:YA-SIN
Middle Name:
Last Name:PEAKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E NORTH AVE
Mailing Address - Street 2:DIVISION OF GENERAL SURGERY
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-6907
Mailing Address - Fax:412-359-3212
Practice Address - Street 1:7625 MAPLE LAWN BLVD STE 240
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2565
Practice Address - Country:US
Practice Address - Phone:301-617-3404
Practice Address - Fax:301-617-3407
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17649122300000X, 1223S0112X
PAMT-199807208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist
No208600000XAllopathic & Osteopathic PhysiciansSurgery