1023086915 NPI number — DR. FRANK F SHIEH MD

Table of content: DR. FRANK F SHIEH MD (NPI 1023086915)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023086915 NPI number — DR. FRANK F SHIEH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHIEH
Provider First Name:
FRANK
Provider Middle Name:
F
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:
1023086915
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18000 BRANDERS BRIDGE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLONIAL HEIGHTS
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23834
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-526-8985
Provider Business Mailing Address Fax Number:
804-862-1158

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
603 S SYCAMORE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PETERSBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-732-1286
Provider Business Practice Location Address Fax Number:
804-862-1158
Provider Enumeration Date:
03/08/2006

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: 174400000X , with the licence number:  0101027522 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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