Healthcare Provider Details

I. General information

NPI: 1073573309
Provider Name (Legal Business Name): ROBERT M YEH MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 11/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 N PECOS RD SUITE 110
HENDERSON NV
89074-7365
US

IV. Provider business mailing address

PO BOX 93838
LAS VEGAS NV
89193-3838
US

V. Phone/Fax

Practice location:
  • Phone: 702-309-0888
  • Fax: 702-309-0868
Mailing address:
  • Phone: 702-309-0888
  • Fax: 702-309-0868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number9877
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number9877
License Number StateNV

VIII. Authorized Official

Name: DR. ROBERT M YEH
Title or Position: MD
Credential: MD
Phone: 702-309-0888