Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE MANG YUET MA, M.D
ActiveGRACE MANG YUET MA, M.D is a Pediatric Radiology healthcare provider located in LEESBURG, Virginia. NPI 1548520984 is currently active in the NPPES registry. Verify at CMS.
Pediatric Radiology · LEESBURG, VA
Registration Details
- NPI Number
- 1548520984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2012 (14.258171350106 yrs)
- Last Updated
- May 24, 2023
- Licenses
-
MD047380 (DC)0101266910 (VA)
Practice Information
- Address
-
19500 SANDRIDGE WAY, SUITE 420LEESBURG, VA, 20176Browse VA providers · Browse ZIP 20176
- Phone
- 5713758601
- Primary Specialty
-
Pediatric Radiology
2085P0229X
- Additional Specialty
- Pediatric Radiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.