Provider Demographics
NPI:1346801578
Name:DAI, YI LING (MD)
Entity type:Individual
Prefix:
First Name:YI LING
Middle Name:
Last Name:DAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:33080 UTICA RD STE B
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:MI
Mailing Address - Zip Code:48026-2038
Mailing Address - Country:US
Mailing Address - Phone:862-967-2505
Mailing Address - Fax:586-944-2315
Practice Address - Street 1:1701 SOUTH BLVD E STE 180
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-6115
Practice Address - Country:US
Practice Address - Phone:248-293-5161
Practice Address - Fax:248-564-2954
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301511300207W00000X
MI4352000982207R00000X
MA1014825207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine