Healthcare Provider Details

I. General information

NPI: 1376760975
Provider Name (Legal Business Name): SABRINA JANET SHIH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 N LA CHOLLA BLVD
TUCSON AZ
85741-3529
US

IV. Provider business mailing address

4631 N COVEY LN
TUCSON AZ
85750-6218
US

V. Phone/Fax

Practice location:
  • Phone: 520-469-8552
  • Fax: 520-469-8599
Mailing address:
  • Phone: 520-529-1706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number36862
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number36862
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: