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NPI Code Detail

MEDICARE: ZIHE SHAN M.D

MEDICARE: ZIHE SHAN 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
1207R00000XInternal Medicine Physician207152NY

General Provider Information

NPI Number : 1982662458
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZIHE SHAN M.D
Provider Business Mailing Address
First Line : 1508 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3808
Country : US
Telephone Number : 718-376-3383
Fax Number : 718-376-3385
Provider Business Practice Location Address
First Line : 1508 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3808
Country : US
Telephone Number : 718-376-3383
Fax Number : 718-376-3385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 11/19/2007

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