Provider Demographics
NPI:1841235629
Name:SHIAU, YEA WEN W (MD, VA)
Entity Type:Individual
Prefix:DR
First Name:YEA WEN
Middle Name:W
Last Name:SHIAU
Suffix:
Gender:F
Credentials:MD, VA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11125 ROCKVILLE PIKE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3142
Mailing Address - Country:US
Mailing Address - Phone:301-468-5652
Mailing Address - Fax:301-468-5653
Practice Address - Street 1:11125 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 210
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3142
Practice Address - Country:US
Practice Address - Phone:301-468-5652
Practice Address - Fax:301-468-5653
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00987231H00000X
VA2201001203231H00000X
VA2101001442237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDQ58508Medicare UPIN