Basic Information
Provider Information
NPI: 1326346099
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUAN
FirstName: YANFANG
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3421 CONCORD RD
Address2:  
City: YORK
State: PA
PostalCode: 174029001
CountryCode: US
TelephoneNumber: 7178511405
FaxNumber: 7178516969
Practice Location
Address1: 252 S 4TH ST FL 3
Address2:  
City: LEBANON
State: PA
PostalCode: 170426111
CountryCode: US
TelephoneNumber: 7172704876
FaxNumber: 7172703875
Other Information
ProviderEnumerationDate: 03/04/2011
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XMD452654PAN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XMT198577PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XMD452654PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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