Provider Demographics
NPI:1548201148
Name:YEH, LLOYD RONG KUNG (MD)
Entity type:Individual
Prefix:
First Name:LLOYD
Middle Name:RONG KUNG
Last Name:YEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:216-475-8844
Mailing Address - Fax:216-475-3816
Practice Address - Street 1:13201 GRANGER RD STE 2
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-1979
Practice Address - Country:US
Practice Address - Phone:216-475-8844
Practice Address - Fax:216-475-3816
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35075673207P00000X
OH35-075673208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000526187OtherANTHEM
OH364156OtherWELLCARE
OH5141724OtherAETNA
OH2134890OtherBCMH
OH000000221330OtherUNISON
OH2134890Medicaid
OH732600OtherBUCKEYE
OH000000526187OtherANTHEM