Provider Demographics
NPI:1972672350
Name:SHIEH, CHIH JUNG (MD)
Entity Type:Individual
Prefix:
First Name:CHIH
Middle Name:JUNG
Last Name:SHIEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 OLIVE HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-6138
Mailing Address - Country:US
Mailing Address - Phone:530-534-3037
Mailing Address - Fax:530-534-3384
Practice Address - Street 1:2630 OLIVE HWY
Practice Address - Street 2:SUITE B
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6138
Practice Address - Country:US
Practice Address - Phone:530-534-3037
Practice Address - Fax:530-534-3384
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA37351208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A373510Medicaid
CA00A373510Medicaid
CA00A373510Medicare ID - Type Unspecified