Provider Demographics
NPI:1700861275
Name:CHI, ANDREW YINTAH (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:YINTAH
Last Name:CHI
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 HOMESTEAD ROAD
Mailing Address - Street 2:STE C1, #336
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-7302
Mailing Address - Country:US
Mailing Address - Phone:408-758-0680
Mailing Address - Fax:
Practice Address - Street 1:350 DE SOTO DR
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2402
Practice Address - Country:US
Practice Address - Phone:408-758-0680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76299207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A762992OtherINDIVIDUAL PTAN
H93402Medicare UPIN