Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Yichen Song

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013595693

Ethan Yichen Song is a Student in an Organized Health Care Education/Training Program in Durham, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone: (919) 681-7139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1013595693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2021
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021
Mailing address40 Duke Medicine Cir, Durham, NC 27710-4000

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