Provider Demographics
NPI:1033442124
Name:SHIAU, CHIH-CHII AMY (RD)
Entity Type:Individual
Prefix:MS
First Name:CHIH-CHII
Middle Name:AMY
Last Name:SHIAU
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4563 BORINA DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-2225
Mailing Address - Country:US
Mailing Address - Phone:408-656-5906
Mailing Address - Fax:408-517-5785
Practice Address - Street 1:4563 BORINA DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-2225
Practice Address - Country:US
Practice Address - Phone:408-656-5906
Practice Address - Fax:408-517-5785
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL724244133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal