Provider Demographics
NPI:1609876796
Name:YEE, ROBERT D (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:550 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 3080
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5149
Mailing Address - Country:US
Mailing Address - Phone:317-274-1034
Mailing Address - Fax:317-274-3265
Practice Address - Street 1:550 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 3005
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5149
Practice Address - Country:US
Practice Address - Phone:317-274-8937
Practice Address - Fax:317-274-2727
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2010-07-29
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Provider Licenses
StateLicense IDTaxonomies
IN01036303207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000077831OtherANTHEM
IN100067020Medicaid
IN100067020Medicaid
IN092840Medicare ID - Type Unspecified