Provider Demographics
NPI:1619937117
Name:LOH, HUI-SHIEN (MD)
Entity Type:Individual
Prefix:DR
First Name:HUI-SHIEN
Middle Name:
Last Name:LOH
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 1:38 PEQUOSSETTE ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-2763
Mailing Address - Country:US
Mailing Address - Phone:617-507-9166
Mailing Address - Fax:
Practice Address - Street 1:38 PEQUOSSETTE ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2763
Practice Address - Country:US
Practice Address - Phone:617-507-9166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAG64565Medicare UPIN