Provider Demographics
NPI:1417781402
Name:PESSETTO, ZIYAN YUAN (PHD, HCLD (ABB))
Entity type:Individual
Prefix:
First Name:ZIYAN
Middle Name:YUAN
Last Name:PESSETTO
Suffix:
Gender:F
Credentials:PHD, HCLD (ABB)
Other - Prefix:
Other - First Name:ZIYAN
Other - Middle Name:
Other - Last Name:YUAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, HCLD (ABB)
Mailing Address - Street 1:25000 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7348
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25000 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7348
Practice Address - Country:US
Practice Address - Phone:877-746-6244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20152405207ZP0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology