Healthcare Provider Details

I. General information

NPI: 1851409270
Provider Name (Legal Business Name): EDWIN J YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2228 LILIHA ST SUITE 104
HONOLULU HI
96817-1650
US

IV. Provider business mailing address

2228 LILIHA ST SUITE 104
HONOLULU HI
96817-1650
US

V. Phone/Fax

Practice location:
  • Phone: 808-536-3825
  • Fax: 808-536-3916
Mailing address:
  • Phone: 808-536-3825
  • Fax: 808-536-3916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-5277
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: