Healthcare Provider Details

I. General information

NPI: 1467557009
Provider Name (Legal Business Name): ERIC K.S. YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 03/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7192 KALANIANAOLE HWY SUITE A200
HONOLULU HI
96825-1800
US

IV. Provider business mailing address

7192 KALANIANAOLE HWY SUITE A200
HONOLULU HI
96825-1800
US

V. Phone/Fax

Practice location:
  • Phone: 808-396-6321
  • Fax: 808-395-7160
Mailing address:
  • Phone: 808-396-6321
  • Fax: 808-395-7160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-5515
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: