YEE, DOMINIC (MD)

Provider Demographics

• NPI: 1750334884
• Name: YEE, DOMINIC (MD)
• Entity type: Individual
• Prefix: DR
• First Name: DOMINIC
• Last Name: YEE
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 10800 E GEDDES AVE STE 300
• Mailing Address - City: ENGLEWOOD
• Mailing Address - State: CO
• Mailing Address - Zip Code: 80112-3895
• Mailing Address - Country: US
• Mailing Address - Phone: 303-761-9190
• Mailing Address - Fax: 720-874-4462
• Practice Address - Street 1: 501 E HAMPDEN AVE
• Practice Address - City: ENGLEWOOD
• Practice Address - State: CO
• Practice Address - Zip Code: 80113-2702
• Practice Address - Country: US
• Practice Address - Phone: 303-761-9190
• Practice Address - Fax: 720-874-4462
• Is Sole Proprietor?: No
• Enumeration Date: 2006-05-18
• Last Update Date: 2024-03-31

Provider Licenses

State	License ID	Taxonomies
HI	MD17562	2085R0202X
KS	04-36353	2085R0202X
CO	38758	2085R0202X
NE	25134	2085R0202X
CO	DR.0038758	2085R0204X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0204X	Allopathic & Osteopathic Physicians	Radiology	Vascular & Interventional Radiology
No	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IA	0560078	Medicaid
AL	009903495	Medicaid
CO	300127843	Other	RR DIA MEDICARE
KY	64049000	Medicaid
TX	150009201	Medicaid
KS	200256090A	Medicaid
NE	84-059792913	Medicaid
MT	1750334884	Medicaid
AZ	69862301	Medicaid
NM	74259709	Medicaid
MI	104686481	Medicaid
CO	43689876	Medicaid
NE	10025709000	Medicaid
OK	200025700A	Medicaid
CO	300127420	Other	RR RIA MEDICARE
WY	1356345680	Medicaid
CA	1750334884	Medicaid
CO	300119237	Other	RR MIC MEDICARE
SC	Q38759	Medicaid
CO	C802541	Medicare PIN
CO	F97443	Medicare UPIN
NE	10025709000	Medicaid
CA	1750334884	Medicaid
TX	150009201	Medicaid
CO	300127843	Other	RR DIA MEDICARE
CO	300119237	Other	RR MIC MEDICARE
AZ	69862301	Medicaid
SC	Q38759	Medicaid
CO	43689876	Medicaid
NE	NA1214080	Medicare PIN
CO	394451ZLJ3	Medicare PIN