MEDICARE: DR. ANDOL STEPHEN YEH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD427460	PA

General Provider Information

NPI Number	:	1437132511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDOL STEPHEN YEH MD

Provider Business Mailing Address
First Line	:	4201 BELLE MEADE CIR
Second Line	:
City	:	BELMONT
State	:	NC
Zip	:	28012-6506
Country	:	US
Telephone Number	:	704-825-3694
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 BELLE MEADE CIR
Second Line	:
City	:	BELMONT
State	:	NC
Zip	:	28012-6506
Country	:	US
Telephone Number	:	704-825-3694
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	01/14/2009

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