Provider Demographics
NPI:1851409270
Name:YEE, EDWIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:J
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2228 LILIHA ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1650
Mailing Address - Country:US
Mailing Address - Phone:808-536-3825
Mailing Address - Fax:808-536-3916
Practice Address - Street 1:2228 LILIHA ST
Practice Address - Street 2:SUITE 104
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1650
Practice Address - Country:US
Practice Address - Phone:808-536-3825
Practice Address - Fax:808-536-3916
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-5277207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01836901Medicaid
HI0000BDPLGMedicare ID - Type Unspecified
C97681Medicare UPIN