Provider Demographics
NPI:1144285792
Name:NGEOW, YIN KEONG (MD)
Entity type:Individual
Prefix:DR
First Name:YIN
Middle Name:KEONG
Last Name:NGEOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6307 FAIRWAY DR W
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17222-9236
Mailing Address - Country:US
Mailing Address - Phone:717-352-7576
Mailing Address - Fax:717-352-4030
Practice Address - Street 1:6307 FAIRWAY DR W
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:PA
Practice Address - Zip Code:17222-9236
Practice Address - Country:US
Practice Address - Phone:717-352-7576
Practice Address - Fax:717-352-4030
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028643E207L00000X
MDD0024913207L00000X
MA42315207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE73180Medicare UPIN