Doctor Name: | SIN MIN MELVYN YEOH |
NPI Number: | 1992964795 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.M.D., M.D. |
License Number: | 255991 |
Business Practice Address: | 1501 Kings Hwy Shreveport, LA - 711034228 |
Business Phone Number: | 3186758068 |
Business Fax Number: | 3186755069 |
Mailing Address: | 2627 Linwood Ave, SHREVEPORT |
State: | LA |
Postal Code: | 711033721 |
Phone Number: | 3186758068 |
Fax Number: | 3186755069 |
NPI Enumeration Date: | 06/06/2008 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204E00000X |
License Number: | 255991 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Oral & Maxillofacial Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |