MEDICARE: DR. GREGORY E. M. YUEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD-3267	HI
2	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	MD-3267	HI

General Provider Information

NPI Number	:	1871654640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY E. M. YUEN M.D.

Provider Business Mailing Address
First Line	:	1188 BISHOP ST
Second Line	:	STE 806
City	:	HONOLULU
State	:	HI
Zip	:	96813-3303
Country	:	US
Telephone Number	:	808-599-5050
Fax Number	:	808-599-5719

Provider Business Practice Location Address
First Line	:	1188 BISHOP ST
Second Line	:	STE 806
City	:	HONOLULU
State	:	HI
Zip	:	96813-3303
Country	:	US
Telephone Number	:	808-599-5050
Fax Number	:	808-599-5719

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/23/2016

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