Provider Demographics
NPI:1912929241
Name:YEE, EDWARD SHEWWOOD (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:SHEWWOOD
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:PO BOX 31961
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-0961
Mailing Address - Country:US
Mailing Address - Phone:415-706-7576
Mailing Address - Fax:831-643-2984
Practice Address - Street 1:2100 WEBSTER ST
Practice Address - Street 2:SUITE 411
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2373
Practice Address - Country:US
Practice Address - Phone:415-706-7576
Practice Address - Fax:415-600-7865
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG33670208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G3367001OtherMEDICARE 2004
CA00G3367002OtherMEDICARE 2007
CA00G336700Medicare ID - Type Unspecified
CA00G3367002OtherMEDICARE 2007