Provider Demographics
NPI:1992750673
Name:HUANG, YI ANNETTE (MD)
Entity type:Individual
Prefix:MRS
First Name:YI
Middle Name:ANNETTE
Last Name:HUANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 16TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-5211
Mailing Address - Country:US
Mailing Address - Phone:206-326-3000
Mailing Address - Fax:
Practice Address - Street 1:125 16TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5211
Practice Address - Country:US
Practice Address - Phone:206-326-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0374232084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
164888600OtherOWCP DEPT OF LABOR
TN3886548Medicaid
026086900OtherBLACK LUNG COAL MINERS
4065841OtherBCBS
NC89066PNOtherNC STATE
TN0119OtherJOHN DEERE
702028195OtherPHP CARITEN
P00041727OtherRR MEDICARE
NC89066PNMedicaid
VA010022738Medicaid
KY6407305900Medicaid