Provider Demographics
NPI:1568487361
Name:YEH, DAVID LI-TEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LI-TEN
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 1:12800 MIDDLEBROOK ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874
Mailing Address - Country:US
Mailing Address - Phone:301-528-4500
Mailing Address - Fax:301-528-4501
Practice Address - Street 1:12800 MIDDLEBROOK ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874
Practice Address - Country:US
Practice Address - Phone:301-528-4500
Practice Address - Fax:301-528-4501
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD64137207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD051046700Medicaid
MD051046700Medicaid
MD234939YGNRMedicare PIN