Provider Demographics
| NPI: | 1104983642 |
|---|---|
| Name: | YEH, MENG-CHE (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | MENG-CHE |
| Middle Name: | |
| Last Name: | YEH |
| Suffix: | |
| Gender: | M |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | MATTHEW |
| Other - Middle Name: | |
| Other - Last Name: | YEH |
| Other - Suffix: | |
| Other - Last Name Type: | Professional Name |
| Other - Credentials: | MD |
| Mailing Address - Street 1: | PO BOX 50095 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SEATTLE |
| Mailing Address - State: | WA |
| Mailing Address - Zip Code: | 98145-5095 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 206-543-6420 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | UNIVERSITY OF WASHINGTON MEDICAL CTR |
| Practice Address - Street 2: | 1959 NE PACIFIC ST |
| Practice Address - City: | SEATTLE |
| Practice Address - State: | WA |
| Practice Address - Zip Code: | 98195-0001 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 206-598-0539 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2007-01-03 |
| Last Update Date: | 2011-10-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| WA | MD00041180 | 207ZP0102X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| WA | 0232212 | Other | L&I |
| WA | 1104983642 | Medicaid | |
| 295370 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
| WA | 0232212 | Other | L&I |
| H64694 | Medicare UPIN |