Provider Demographics
NPI:1750574091
Name:POI, MUN JYE (MD)
Entity type:Individual
Prefix:DR
First Name:MUN JYE
Middle Name:
Last Name:POI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 GOETHALS DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3300
Mailing Address - Country:US
Mailing Address - Phone:509-942-3095
Mailing Address - Fax:509-942-3097
Practice Address - Street 1:560 GAGE BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-8650
Practice Address - Country:US
Practice Address - Phone:509-942-3627
Practice Address - Fax:509-942-2268
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP16812086S0129X
WAMD605789342086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2047784Medicaid
WAG8944413Medicare PIN