Basic Information
Provider Information
NPI: 1467557009
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YEE
FirstName: ERIC
MiddleName: K.S.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7192 KALANIANAOLE HWY
Address2: SUITE A200
City: HONOLULU
State: HI
PostalCode: 968251800
CountryCode: US
TelephoneNumber: 8083966321
FaxNumber: 8083957160
Practice Location
Address1: 7192 KALANIANAOLE HWY
Address2: SUITE A200
City: HONOLULU
State: HI
PostalCode: 968251800
CountryCode: US
TelephoneNumber: 8083966321
FaxNumber: 8083957160
Other Information
ProviderEnumerationDate: 09/14/2006
LastUpdateDate: 03/15/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD-5515HIY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home