Provider Demographics
NPI:1710208210
Name:CHOU, SHINN-HUEY SHIRLEY
Entity Type:Individual
Prefix:
First Name:SHINN-HUEY
Middle Name:SHIRLEY
Last Name:CHOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:BWH DIVISION OF BREAST IMAGING, DEPT OF RADIOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-732-8582
Mailing Address - Fax:617-713-3023
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BWH DIVISION OF BREAST IMAGING, DEPT OF RADIOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-8582
Practice Address - Fax:617-713-3023
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116022669390200000X
WAMD603933772085R0202X
MA2625142085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program