Healthcare Provider Details

I. General information

NPI: 1659862464
Provider Name (Legal Business Name): PRISCILLA YEE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 CONTEE RD STE 1B-100
LAUREL MD
20707-9527
US

IV. Provider business mailing address

2001 CRYSTAL SPRING AVE SW STE 300
ROANOKE VA
24014-2465
US

V. Phone/Fax

Practice location:
  • Phone: 240-677-7250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberLL51967
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number0102206610
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberH0100484
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: