Provider Demographics
NPI:1689614992
Name:LEE, SHU MAY (MD)
Entity Type:Individual
Prefix:DR
First Name:SHU MAY
Middle Name:
Last Name:LEE
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 1:1800 SULLIVAN AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2228
Mailing Address - Country:US
Mailing Address - Phone:650-755-2690
Mailing Address - Fax:650-755-2606
Practice Address - Street 1:1800 SULLIVAN AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2228
Practice Address - Country:US
Practice Address - Phone:650-755-2690
Practice Address - Fax:650-755-2606
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63819207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A638190Medicaid
CAH99315Medicare UPIN
CA00A638190Medicaid