Provider Demographics
NPI:1386608917
Name:YEE, WENDY (MD)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:YEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 ALA MOANA BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1457
Mailing Address - Country:US
Mailing Address - Phone:808-955-0255
Mailing Address - Fax:808-955-4155
Practice Address - Street 1:1620 ALA MOANA BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1457
Practice Address - Country:US
Practice Address - Phone:808-955-0255
Practice Address - Fax:808-955-4155
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 13080174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000252783OtherHMSA HONOLULU PROV#
HI56795101Medicaid
HI56795102Medicaid
HI00C252787OtherHMSA QUEENS LOC PROV#
HI56795103Medicaid
HIH100554Medicare ID - Type UnspecifiedINDIVIDUAL PROV#
HI00C252787OtherHMSA QUEENS LOC PROV#
HI56795103Medicaid