MEDICARE: SHIRLEY CHI 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
1	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	A95727	CA
2	208100000X	Physical Medicine & Rehabilitation Physician	A95727	CA

General Provider Information

NPI Number	:	1598974164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRLEY CHI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 9344
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94709-0344
Country	:	US
Telephone Number	:	510-220-4441
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 DWIGHT WAY
Second Line	:	SUITE 2300
City	:	BERKELEY
State	:	CA
Zip	:	94704-2608
Country	:	US
Telephone Number	:	510-220-4441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	06/01/2026

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Directions to “ SHIRLEY CHI M.D.” Practice Location

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