Provider Demographics
NPI:1275522294
Name:SHIH, LING T (MD)
Entity Type:Individual
Prefix:
First Name:LING
Middle Name:T
Last Name:SHIH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 ORCHARD DR
Mailing Address - Street 2:STE 2005
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6113
Mailing Address - Country:US
Mailing Address - Phone:989-631-6125
Mailing Address - Fax:
Practice Address - Street 1:4007 ORCHARD DR
Practice Address - Street 2:STE 2005
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6113
Practice Address - Country:US
Practice Address - Phone:989-631-6125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MILS031767207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1065000Medicaid
MIB44152Medicare UPIN
MI1065000Medicaid