Provider Demographics
NPI:1316049190
Name:SHEN, DENNIS D (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:D
Last Name:SHEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:909 HYDE ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4822
Mailing Address - Country:US
Mailing Address - Phone:415-292-3313
Mailing Address - Fax:415-563-5561
Practice Address - Street 1:909 HYDE ST
Practice Address - Street 2:SUITE 210
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4822
Practice Address - Country:US
Practice Address - Phone:415-292-3313
Practice Address - Fax:415-563-5561
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA40994207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF48742Medicare UPIN