MEDICARE: WAI CHUN YIP 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	174400000X	Specialist	ME70491	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972566057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAI CHUN YIP M.D.

Provider Business Mailing Address
First Line	:	4895 WINDWARD PASSAGE DR
Second Line	:	SUITE 4
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-7741
Country	:	US
Telephone Number	:	561-733-3970
Fax Number	:	561-733-3690

Provider Business Practice Location Address
First Line	:	4895 WINDWARD PASSAGE DR
Second Line	:	SUITE 4
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-7741
Country	:	US
Telephone Number	:	561-733-3970
Fax Number	:	561-733-3690

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	01/29/2009

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