Provider Demographics
NPI:1821023946
Name:SHEEN, FU-JEN (MD)
Entity Type:Individual
Prefix:DR
First Name:FU-JEN
Middle Name:
Last Name:SHEEN
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 1:4700 WESTERN AVENUE
Mailing Address - Street 2:STE 104
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-3320
Mailing Address - Country:US
Mailing Address - Phone:865-588-2902
Mailing Address - Fax:865-584-1026
Practice Address - Street 1:4700 WESTERN AVENUE
Practice Address - Street 2:STE 104
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-3320
Practice Address - Country:US
Practice Address - Phone:865-588-2902
Practice Address - Fax:865-584-1026
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD012961207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3011205Medicaid
TN3011205Medicaid
TN3011205Medicare ID - Type Unspecified