Provider Demographics
NPI:1962507632
Name:CHEE, TONY T P (MD)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:T P
Last Name:CHEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:TONY TONG
Other - Middle Name:P
Other - Last Name:CHEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1773 WEST 24TH ST
Mailing Address - Street 2:STE B
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6230
Mailing Address - Country:US
Mailing Address - Phone:928-344-8748
Mailing Address - Fax:928-341-8750
Practice Address - Street 1:1773 W 24TH ST
Practice Address - Street 2:STE B
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6230
Practice Address - Country:US
Practice Address - Phone:928-344-8748
Practice Address - Fax:928-341-8750
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11124207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ060009685OtherRRMC 2010
AZ424463Medicaid
AZZ75661OtherMEDICARE GROUP
AZZ69831OtherMEDICARE PTAN YRMC
AZ1891945275OtherORGAINIZATION NPI
AZ228529003Medicaid
AZ060034067OtherRRMC
AZ28529001Medicaid
AZZ75901OtherMEDICARE PIN 2009
AZ11124OtherLICENSE
AZ0390440OtherBCBS OF AZ
AZAZ12971OtherMEDICARE SUBMITTER ID 2010
AZ060034067OtherRRMC
AZZ136181Medicare PIN