Provider Demographics
NPI:1952593949
Name:YIH-FU SHIAU, MD
Entity Type:Organization
Organization Name:YIH-FU SHIAU, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:YIH-FU
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-446-3350
Mailing Address - Street 1:21 N EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-3434
Mailing Address - Country:US
Mailing Address - Phone:610-446-3350
Mailing Address - Fax:610-446-3706
Practice Address - Street 1:21 N EAGLE RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-3434
Practice Address - Country:US
Practice Address - Phone:610-446-3350
Practice Address - Fax:610-446-3706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-034364-L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00663371Medicaid
PAC30623Medicare UPIN