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NPI Code Detail

MEDICARE: HUIJUN SHI M.D.

MEDICARE: HUIJUN SHI 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
1207L00000XAnesthesiology PhysicianD60498MD
2207L00000XAnesthesiology PhysicianD0060498MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376540922
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUIJUN SHI M.D.
Provider Business Mailing Address
First Line : 2848 CARROLL WIND DR
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-1949
Country : US
Telephone Number : 410-818-0598
Fax Number :
Provider Business Practice Location Address
First Line : 1701 TWIN SPRINGS RD
Second Line :
City : HALETHORPE
State : MD
Zip : 21227-3553
Country : US
Telephone Number : 410-737-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 02/09/2022

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Directions to “ HUIJUN SHI M.D.” Practice Location

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