Provider Demographics
NPI:1790745065
Name:YEE, CHIHUANG EDWARD (M D)
Entity Type:Individual
Prefix:MR
First Name:CHIHUANG
Middle Name:EDWARD
Last Name:YEE
Suffix:
Gender:M
Credentials:M D
Other - Prefix:MR
Other - First Name:C.
Other - Middle Name:EDWARD
Other - Last Name:YEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2980 S JONES BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5657
Mailing Address - Country:US
Mailing Address - Phone:702-362-3937
Mailing Address - Fax:702-362-7935
Practice Address - Street 1:2980 S JONES BLVD STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5657
Practice Address - Country:US
Practice Address - Phone:702-362-3937
Practice Address - Fax:702-362-7935
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7830174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVE62867Medicare UPIN
NVV37233Medicare PIN