Provider Demographics
NPI:1801813985
Name:FONG, YUEN-YEE (DO)
Entity Type:Individual
Prefix:DR
First Name:YUEN-YEE
Middle Name:
Last Name:FONG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9455 FORESTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-8515
Mailing Address - Country:US
Mailing Address - Phone:901-757-4822
Mailing Address - Fax:727-507-3618
Practice Address - Street 1:9455 FORESTWOOD RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-8515
Practice Address - Country:US
Practice Address - Phone:901-484-4752
Practice Address - Fax:901-757-4822
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO1553207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H92566Medicare UPIN