Provider Demographics
NPI:1508886888
Name:YEE, MARTIN C (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:C
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10627 BANDLEY DR
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-1754
Mailing Address - Country:US
Mailing Address - Phone:408-217-6130
Mailing Address - Fax:408-217-6130
Practice Address - Street 1:10627 BANDLEY DR
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-1754
Practice Address - Country:US
Practice Address - Phone:408-217-6130
Practice Address - Fax:408-217-6130
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA055048207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A550481Medicare PIN
G62312Medicare UPIN