1518943794 NPI number — DR. STEVE CHIA-HUA SHIUE MD

Table of content: DR. STEVE CHIA-HUA SHIUE MD (NPI 1518943794)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518943794 NPI number — DR. STEVE CHIA-HUA SHIUE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHIUE
Provider First Name:
STEVE
Provider Middle Name:
CHIA-HUA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518943794
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 34120
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89533-4120
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-747-5050
Provider Business Mailing Address Fax Number:
775-747-5005

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9268 PALOMINO RIDGE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKESIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92040-5812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-747-5050
Provider Business Practice Location Address Fax Number:
775-747-5050
Provider Enumeration Date:
12/19/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  H39621 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207L00000X , with the licence number: G85982 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P01356072 . This is a "RR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 149908906 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8EH363 . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".