Provider Demographics
NPI:1427192434
Name:DEVOE, YINYIN JOSEPHINE LAUREN (MD)
Entity Type:Individual
Prefix:DR
First Name:YINYIN
Middle Name:JOSEPHINE LAUREN
Last Name:DEVOE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YINYIN
Other - Middle Name:JOSEPHINE LAUREN
Other - Last Name:DEVOE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8803 S 101ST EAST AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7546
Mailing Address - Country:US
Mailing Address - Phone:918-579-2791
Mailing Address - Fax:918-579-2799
Practice Address - Street 1:8803 S 101ST EAST AVE STE 100
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-7546
Practice Address - Country:US
Practice Address - Phone:918-579-2791
Practice Address - Fax:918-579-2799
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK24359207Q00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200122920BMedicaid