Provider Demographics
NPI:1518000173
Name:SHIU, LANA (MD)
Entity Type:Individual
Prefix:DR
First Name:LANA
Middle Name:
Last Name:SHIU
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 1:9200 CORPORATE BLVD
Mailing Address - Street 2:HFZ-480
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3229
Mailing Address - Country:US
Mailing Address - Phone:240-276-3707
Mailing Address - Fax:240-276-3789
Practice Address - Street 1:8901 ROCKVILLE PIKE
Practice Address - Street 2:INTERNAL MEDICINE CLINIC
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-319-8238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA053405207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine