Healthcare Provider Details

I. General information

NPI: 1396692133
Provider Name (Legal Business Name): SHU DING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 VAN NESS AVE
SAN FRANCISCO CA
94109-6919
US

IV. Provider business mailing address

1140 BERNAL AVE
BURLINGAME CA
94010-5617
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-3202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number74113
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: