Provider Demographics
NPI:1467541987
Name:CHEN, SHU EV (MD)
Entity Type:Individual
Prefix:
First Name:SHU
Middle Name:EV
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 J ST
Mailing Address - Street 2:SUITE 250 SHU E CHEN MD
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3633
Mailing Address - Country:US
Mailing Address - Phone:916-733-6817
Mailing Address - Fax:916-733-6811
Practice Address - Street 1:3941 J ST
Practice Address - Street 2:SUITE 250 SHU E CHEN MD
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3633
Practice Address - Country:US
Practice Address - Phone:916-733-6817
Practice Address - Fax:916-733-6811
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA31094207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A310941Medicaid
CA00A310941Medicaid
00A310940Medicare ID - Type Unspecified