Active NPI
Yung-Soo Pang, M.D.
- Internal Medicine Physician
- Washington, DC
National Provider Identifier
1548314552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD32048
- Practice address
- 110 Irving Street
Suite 4B1
Washington, DC 20010 - Phone
- (202) 877-5975
- Fax
- (202) 877-2718
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD32048 | DC | Primary |
| Internal Medicine Physician | 207R00000X | D55213 | MD |
Addresses
Primary practice location
110 Irving Street
Suite 4B1
Washington, DC 20010
Mailing address
2101 East Jefferson Street
Kaiser Permanente Ppqa 6 West
Rockville, MD 20852
Phone (301) 816-6660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD32048 | DC | MD | Internal Medicine Physician |
| D55213 | MD | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548314552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 EAST JEFFERSON STREET",
"address_2": "KAISER PERMANENTE PPQA 6 WEST",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-816-6660",
"fax_number": "301-816-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING STREET",
"address_2": "SUITE 4B1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-877-5975",
"fax_number": "202-877-2718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "YUNG-SOO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD32048",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D55213",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.