Provider Demographics
NPI:1275533010
Name:YEH, ALEXANDER MAO (MD)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:MAO
Last Name:YEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6100 W 96TH ST
Mailing Address - Street 2:STE 125
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-6005
Mailing Address - Country:US
Mailing Address - Phone:317-715-1800
Mailing Address - Fax:317-715-6200
Practice Address - Street 1:1701 N SENATE AVE
Practice Address - Street 2:RADIATION THERAPY
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5306
Practice Address - Country:US
Practice Address - Phone:317-962-3172
Practice Address - Fax:317-962-5085
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2008-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01057430A2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN149720TMedicare PIN
H81334Medicare UPIN
INP00032650Medicare PIN