Provider Demographics
NPI:1437132511
Name:YEH, ANDOL STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDOL
Middle Name:STEPHEN
Last Name:YEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 BELLE MEADE CIR
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-6506
Mailing Address - Country:US
Mailing Address - Phone:704-825-3694
Mailing Address - Fax:
Practice Address - Street 1:4201 BELLE MEADE CIR
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-6506
Practice Address - Country:US
Practice Address - Phone:704-825-3694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427460207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine