Provider Demographics
NPI:1821004649
Name:YEH, THOMAS JR (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:YEH
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:DEPT. OF SURGERY/CARDIAC & THORACIC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-7389
Practice Address - Fax:804-628-0191
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2014-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101041410208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
G78847Medicare UPIN
TX163430501Medicaid
TX8B3928Medicare ID - Type Unspecified