Healthcare Provider Details

I. General information

NPI: 1083790653
Provider Name (Legal Business Name): GAYLAND D.K. YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 PIIKEA AVE # A
KIHEI HI
96753-8268
US

IV. Provider business mailing address

221 PIIKEA AVE # A
KIHEI HI
96753-8268
US

V. Phone/Fax

Practice location:
  • Phone: 808-270-0491
  • Fax: 808-874-6887
Mailing address:
  • Phone: 808-270-0491
  • Fax: 808-874-6887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberMD5827
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: