Yang, Sung K

Yang, Sung K is an individual health care provider with primary practice located at 1600 N. Grand Ave. Ste 150, Pueblo CO 81003-2749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Yang, Sung K can be contacted via phone (719) 595-7680.

Contact Information

Primary practice address
1600 N. Grand Ave. Ste 150 Pueblo CO 81003-2749
Fax: (719) 595-7687
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301056521 Michigan
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X DR.0061669 Colorado

Profile Details

NPI number 1275631285
LBN Legal business name Yang, Sung K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275631285 NPPES
Michigan MEDICAID 3364901
Michigan MEDICAID 9000170136
Michigan MEDICAID 4340978
Michigan MEDICAID 4257370
Michigan Other 100F37143

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