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

Young DO Song

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457699431

Young DO Song is an Internal Medicine in Cranston, Rhode Island. Qualified in 2005, 21 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
21
Licensed in
RI
In the registry since
2013
Specialties on file
2

Practice location Address checks out

333 Budlong Rd
Cranston, RI 02920-6337
Phone: (401) 943-4530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD14324 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457699431
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 25, 2013
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022
Mailing address1011 Riverside Ave, Roseville, CA 95678-5134

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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