Healthcare Provider Details

I. General information

NPI: 1720030117
Provider Name (Legal Business Name): TIMOTHY SHIUH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHRISTIANA HOSPITAL EMERGENCY DEPARTMENT 4755 OGLETOWN-STANTON ROAD
NEWARK DE
19718-0001
US

IV. Provider business mailing address

CHRISTIANA CARE EMERGENCY DEPARTMENT 4755 OGLETOWN-STANTON ROAD
NEWARK DE
19718-0001
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-1840
  • Fax:
Mailing address:
  • Phone: 302-733-1840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01010232548
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberC1-0008179
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: