Healthcare Provider Details

I. General information

NPI: 1609876796
Provider Name (Legal Business Name): ROBERT D YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 07/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 UNIVERSITY BLVD SUITE 3005
INDIANAPOLIS IN
46202-5149
US

IV. Provider business mailing address

550 UNIVERSITY BLVD SUITE 3080
INDIANAPOLIS IN
46202-5149
US

V. Phone/Fax

Practice location:
  • Phone: 317-274-8937
  • Fax: 317-274-2727
Mailing address:
  • Phone: 317-274-1034
  • Fax: 317-274-3265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number01036303
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: