Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 0101237840 | VA |
N | 208000000X | Pediatrician | 0101237840 | VA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 0101237840 | VA |
NPI | 1083651822 |
---|---|
Provider Name | Chie-Youn Shih |
First Address | Baltimore, MD 21279-0137 |
Second Address | Norfolk, VA 23507-1910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 10/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010156726 | (05) | VA |
3810003144 | (05) | WV |
5900704 | (05) | NC |
I30120 | (02) |