Provider Demographics
NPI:1568726222
Name:SHIEH, WEN-SHI (MD)
Entity Type:Individual
Prefix:DR
First Name:WEN-SHI
Middle Name:
Last Name:SHIEH
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 1:5470 KIETZKE LN
Mailing Address - Street 2:STE 205
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2035
Mailing Address - Country:US
Mailing Address - Phone:757-379-4117
Mailing Address - Fax:775-737-9413
Practice Address - Street 1:5470 KIETZKE LN
Practice Address - Street 2:STE 205
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2035
Practice Address - Country:US
Practice Address - Phone:314-367-1181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016009672207W00000X
NV18241207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty