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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174568489 | NPPES |
| California | MEDICAID | 00A928940 |
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