Provider Demographics
NPI:1073545315
Name:SHAW, VAL KERN (MD)
Entity Type:Individual
Prefix:DR
First Name:VAL
Middle Name:KERN
Last Name:SHAW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:114 MISSION RANCH BLVD
Mailing Address - Street 2:#50
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926
Mailing Address - Country:US
Mailing Address - Phone:530-891-1900
Mailing Address - Fax:530-895-1531
Practice Address - Street 1:114 MISSION RANCH BLVD
Practice Address - Street 2:#50
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:530-891-1900
Practice Address - Fax:530-895-1531
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA24731207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00805366OtherRAILROAD MEDICARE
CA180033794OtherMEDICARE RAILROAD
CA180033794OtherMEDICARE RAILROAD
CAP00805366OtherRAILROAD MEDICARE