Provider Demographics
NPI:1871595009
Name:YANG, LEO A (MD)
Entity type:Individual
Prefix:
First Name:LEO
Middle Name:A
Last Name:YANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1900 MALVERN AVE
Mailing Address - Street 2:STE 401
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7779
Mailing Address - Country:US
Mailing Address - Phone:501-623-6455
Mailing Address - Fax:501-624-5896
Practice Address - Street 1:1900 MALVERN AVE
Practice Address - Street 2:STE 401
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7779
Practice Address - Country:US
Practice Address - Phone:501-623-6455
Practice Address - Fax:501-624-5896
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARN8304207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology