1881699445 NPI number — DR. CHRISTOPHER E SHIH M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881699445 NPI number — DR. CHRISTOPHER E SHIH M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

SHIH

Provider First Name:

CHRISTOPHER

Provider Middle Name:

E

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

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:

1881699445

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

06/14/2019

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2112 HARRISBURG PIKE STE 202

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

LANCASTER

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

17601-2644

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

717-869-4600

Provider Business Mailing Address Fax Number:

717-544-3501

Provider First Line Business Practice Location Address:

2112 HARRISBURG PIKE STE 202

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

LANCASTER

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

17601

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

717-869-4600

Provider Business Practice Location Address Fax Number:

717-544-3501

Provider Enumeration Date:

06/20/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207RG0100X , with the licence number:  MD446658 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 641346-01 . This is a "CAREFIRST BSMD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: A1110001 . This is a "CAREFIRST BCBS DC" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
• Identifier: A1130002 . This is a "CAREFIRST BCBS DC" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
• Identifier: 246470KKU . This is a "MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 2516-0007 . This is a "CAREFIRST BSDC" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
• Identifier: N5630030 . This is a "CAREFIRST MD/DC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 1027252240002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 1027252240003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 403909200 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
• Identifier: P00237263 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: P00679078 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
• Identifier: 1027252240004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".