Provider Demographics
NPI:1568448819
Name:SHEN, JANET MO CHIEH (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:MO CHIEH
Last Name:SHEN
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4001 DALE ST
Mailing Address - Street 2:STE 213
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5428
Mailing Address - Country:US
Mailing Address - Phone:917-562-2944
Mailing Address - Fax:907-562-6321
Practice Address - Street 1:4001 DALE ST
Practice Address - Street 2:STE 213
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5428
Practice Address - Country:US
Practice Address - Phone:917-562-2944
Practice Address - Fax:907-562-6321
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK3573208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD1182Medicaid
AKMD1182Medicaid
F50228Medicare UPIN