Provider Demographics
NPI:1275683567
Name:MICCHELLI, SHIEN TSUI LIU (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIEN
Middle Name:TSUI LIU
Last Name:MICCHELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:230 STONY RUN LN
Mailing Address - Street 2:UNIT 5G
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-3058
Mailing Address - Country:US
Mailing Address - Phone:443-616-9956
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:THE JOHNS HOPKINS HOSPITAL, PATHOLOGY BLDG, ROOM 401
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-3980
Practice Address - Fax:410-614-9011
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0065396207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology