Provider Demographics
NPI:1346505690
Name:MICHAEL Y.T. YEE, M.D., INC.
Entity Type:Organization
Organization Name:MICHAEL Y.T. YEE, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:YICK TIM
Authorized Official - Last Name:YEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-261-0765
Mailing Address - Street 1:642 ULUKAHIKI STREET
Mailing Address - Street 2:SUITE 211
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4439
Mailing Address - Country:US
Mailing Address - Phone:808-261-0765
Mailing Address - Fax:808-262-5636
Practice Address - Street 1:642 ULUKAHIKI ST
Practice Address - Street 2:SUITE 211
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4400
Practice Address - Country:US
Practice Address - Phone:808-261-0765
Practice Address - Fax:808-262-5636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5733MD174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI459626OtherOHANA
HIA06239-6OtherHMSA
HI05404201Medicaid
HI05404201Medicaid