Provider Demographics
NPI:1962845735
Name:YI, THOMAS (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:YI
Suffix:
Gender:M
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:PSC 444 BOX 1405
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96297-0015
Mailing Address - Country:US
Mailing Address - Phone:347-513-8952
Mailing Address - Fax:
Practice Address - Street 1:BDAACH
Practice Address - Street 2:
Practice Address - City:CAMP HUMPHREYS
Practice Address - State:CA
Practice Address - Zip Code:96271
Practice Address - Country:US
Practice Address - Phone:315-737-2559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1270207P00000X
HIDOS-1753207P00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine