Provider Demographics
NPI:1922042639
Name:SHAY, WILLIAM BIHSHING (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:BIHSHING
Last Name:SHAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2710 HOSPITAL DR
Mailing Address - Street 2:STE 102
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5743
Mailing Address - Country:US
Mailing Address - Phone:361-582-5789
Mailing Address - Fax:361-582-5779
Practice Address - Street 1:2710 HOSPITAL DR
Practice Address - Street 2:STE 102
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5743
Practice Address - Country:US
Practice Address - Phone:361-582-5789
Practice Address - Fax:361-582-5779
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2017-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5589207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096749901Medicaid
TX0057BWOtherBLUE CROSS PROVIDER NUMBE
TXG03648Medicare UPIN
TX0057BWMedicare ID - Type UnspecifiedMEDICARE PROVIDER