Basic Information
| Provider Information | |||||||||
| NPI: | 1346386364 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KAREN A YEH, M.D., LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3346 | ||||||||
| Address2: | |||||||||
| City: | AUGUSTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 309143346 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7064340130 | ||||||||
| FaxNumber: | 7064340131 | ||||||||
| Practice Location | |||||||||
| Address1: | 2258 WRIGHTSBORO RD | ||||||||
| Address2: | SUITE 430 | ||||||||
| City: | AUGUSTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 309044887 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7064340130 | ||||||||
| FaxNumber: | 7064340131 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/29/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | YEH | ||||||||
| AuthorizedOfficialFirstName: | KAREN | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7064340130 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086X0206X | 036910 | GA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology |
No ID Information.