Search › New Jersey › 207Y00000X
Kenneth Yan, M.D., PH.D
NPI 1447607841 · on the registry since 2016 · sole proprietor
Practice
- Address
- 90 Bergen St Ste 8100
Newark, NJ 07103 - Phone
- (973) 972-4588
- Organisation at this address
- Special Llc
Siddhivinayak Inc
Siddhivinayak Inc
Clinical Practice Pc
Umdnj University HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 257
Additional practice sites
- 5841 S Maryland Ave # Mc1035, Chicago, IL
- 924 Westwood Blvd Ste 515, Los Angeles, CA
- 200 Ucla Medical Plz Ste 550, Los Angeles, CA
Registry record
- Primary taxonomy
- 207Y00000X
207Y00000X
- Also registered as
- 207Y00000X
207Y00000X - Licence states on file
- IL, NJ, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey