Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 228514 | NY |
N | 207RC0200X | Critical Care Medicine | 9933 | CA |
N | 207RP1001X | Pulmonary Disease | 228514 | NY |
N | 207RP1001X | Pulmonary Disease | 9933 | CA |
NPI | 1073719381 |
---|---|
Provider Name | Dr. Kelvin K Shiu |
First Address | Walnut Creek, CA 94596-5318 |
Second Address | Walnut Creek, CA 94596-5318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2007 |
Last Update Date | 08/07/2007 |