Provider Demographics
NPI:1922026640
Name:YEE, TERRY Q (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:Q
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N KUAKINI ST
Mailing Address - Street 2:SUITE #612
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2361
Mailing Address - Country:US
Mailing Address - Phone:808-523-7577
Mailing Address - Fax:808-533-7141
Practice Address - Street 1:321 N KUAKINI ST
Practice Address - Street 2:SUITE #612
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2361
Practice Address - Country:US
Practice Address - Phone:808-523-7577
Practice Address - Fax:808-533-7141
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 8251208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI049774-01Medicaid
HI05669-7Medicare UPIN
HIH53570Medicare ID - Type Unspecified