Provider Demographics
NPI:1104522168
Name:YAO, HAORONG
Entity type:Individual
Prefix:
First Name:HAORONG
Middle Name:
Last Name:YAO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9803 ALLENFORD CIR APT 202
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7524
Mailing Address - Country:US
Mailing Address - Phone:443-248-5856
Mailing Address - Fax:
Practice Address - Street 1:9803 ALLENFORD CIR APT 202
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7524
Practice Address - Country:US
Practice Address - Phone:443-248-5856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02954171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist