Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301114334 | MI |
N | 208000000X | Pediatrician | A109229 | CA |
N | 2080P0210X | Pediatric Nephrologist | 173286 | OR |
N | 2080P0210X | Pediatric Nephrologist | 4301114334 | MI |
Y | 2080P0210X | Pediatric Nephrologist | DR.0066032 | CO |
NPI | 1679731913 |
---|---|
Provider Name | Weiwen Vivian Shih |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 22/09/2021 |