Provider Demographics
NPI:1154555662
Name:YAO, MIN (MD)
Entity type:Individual
Prefix:DR
First Name:MIN
Middle Name:
Last Name:YAO
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 1:36 DIGHTON ST
Mailing Address - Street 2:APT 10
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3232
Mailing Address - Country:US
Mailing Address - Phone:617-860-3121
Mailing Address - Fax:
Practice Address - Street 1:36 DIGHTON ST
Practice Address - Street 2:10
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3232
Practice Address - Country:US
Practice Address - Phone:617-860-3121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program