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 |