Provider Demographics
NPI:1760400212
Name:YEH, CHIH Y (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIH
Middle Name:Y
Last Name:YEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-3862
Mailing Address - Country:US
Mailing Address - Phone:978-682-3939
Mailing Address - Fax:978-686-9494
Practice Address - Street 1:188 BROADWAY
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3862
Practice Address - Country:US
Practice Address - Phone:978-682-3939
Practice Address - Fax:978-686-9494
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80819207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5667662OtherCIGNA
MA804001OtherAETNA
MA080819OtherTUFTS
MA3145522Medicaid
MA65440OtherHARVARD PILGRIM
MA04-10314OtherUNITED HEALTHCARE
MA44709OtherFALLON
MAJ31397OtherBLUE CROSS
MA65440OtherHARVARD PILGRIM
MA44709OtherFALLON