Provider Demographics
NPI:1790962884
Name:SHIAO, TSENG-KUO (MD)
Entity Type:Individual
Prefix:DR
First Name:TSENG-KUO
Middle Name:
Last Name:SHIAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 W 95TH ST
Mailing Address - Street 2:STE. 210
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-3201
Mailing Address - Country:US
Mailing Address - Phone:913-617-1383
Mailing Address - Fax:
Practice Address - Street 1:8600 W 95TH ST
Practice Address - Street 2:STE. 210
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-3201
Practice Address - Country:US
Practice Address - Phone:913-617-1383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-26457208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice