Basic Information
| Provider Information | |||||||||
| NPI: | 1578856647 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YUNG | ||||||||
| FirstName: | MARCO | ||||||||
| MiddleName: | YAT HANG | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 936 | ||||||||
| Address2: | |||||||||
| City: | LONDON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 407430936 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6063307835 | ||||||||
| FaxNumber: | 6063307825 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 MEDICAL CENTER DR STE 2500 | ||||||||
| Address2: | |||||||||
| City: | HUNTINGTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 257013657 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046911200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2011 | ||||||||
| LastUpdateDate: | 11/17/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 50136 | KY | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | 50136 | KY | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0102X | 29318 | WV | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 208600000X | 29318 | WV | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.