Provider Demographics
NPI:1457164196
Name:CHEN, ANGELLEE SHAW (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELLEE
Middle Name:SHAW
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:12075 SKYLINE BLVD.
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2420
Mailing Address - Country:US
Mailing Address - Phone:480-707-9103
Mailing Address - Fax:
Practice Address - Street 1:SAN MATEO MEDICAL CENTER
Practice Address - Street 2:225 W. 37TH AVE.
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-4324
Practice Address - Country:US
Practice Address - Phone:650-312-5562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA78206207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology