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NPI Code Detail

MEDICARE: DR. WEI SHEN M.D.

MEDICARE: DR. WEI SHEN 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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician01057582AIN
2207RP1001XPulmonary Disease Physician11937NH

General Provider Information

NPI Number : 1023039534
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WEI SHEN M.D.
Provider Business Mailing Address
First Line : 11201 BENTON ST
Second Line : 111 P
City : LOMA LINDA
State : CA
Zip : 92357-1000
Country : US
Telephone Number : 909-825-7084
Fax Number :
Provider Business Practice Location Address
First Line : 3601 S 6TH AVE # 1-111A
Second Line : SAVAHCS
City : TUCSON
State : AZ
Zip : 85723-0001
Country : US
Telephone Number : 520-792-1450
Fax Number : 520-629-4641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 12/30/2015

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