Peng, Stanford Lee-Yu

Peng, Stanford Lee-Yu is an individual health care provider with primary practice located at 188 E Blaine St Ste 200 , Seattle WA 98102-3983. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Peng, Stanford Lee-Yu can be contacted via phone (206) 785-4545.

Contact Information

Primary practice address
188 E Blaine St Ste 200 Seattle WA 98102-3983
Phone: (206) 785-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60063017 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A92894 California
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X A92894 California
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD60063017 Washington

Profile Details

NPI number 1174568489
LBN Legal business name Peng, Stanford Lee-Yu
Credentials MD, PHD, FACP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Feb 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174568489 NPPES
California MEDICAID 00A928940

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