Basic Information
| Provider Information | |||||||||
| NPI: | 1497177323 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DORNEICH | ||||||||
| FirstName: | YAN | ||||||||
| MiddleName: | |||||||||
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| OtherLastName: | GU | ||||||||
| OtherFirstName: | YAN | ||||||||
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| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2 HOT METAL ST | ||||||||
| Address2: | QUANTUM ONE, SUITE 001 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152032348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126473087 | ||||||||
| FaxNumber: | 4124325640 | ||||||||
| Practice Location | |||||||||
| Address1: | 120 LYLTON AVE, STE 300 | ||||||||
| Address2: | UPMC KIDNEY CLINIC | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4128023043 | ||||||||
| FaxNumber: | 4128024950 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/12/2014 | ||||||||
| LastUpdateDate: | 12/09/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | MD457090 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.