Provider Demographics
NPI:1386615292
Name:CHEN, SHU-JEI (MD)
Entity type:Individual
Prefix:
First Name:SHU-JEI
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE, N431
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:412-432-5806
Mailing Address - Fax:412-432-7691
Practice Address - Street 1:9100 BABCOCK BLVD
Practice Address - Street 2:DEPT OF RADIATION ONCOLOGY
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5815
Practice Address - Country:US
Practice Address - Phone:412-367-6454
Practice Address - Fax:412-367-6913
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045278E2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012101380003Medicaid
PA11311469AOtherCAQH
PA610461OtherHIGHMARK BS
PA0012101380016Medicaid
PA0012101380013Medicaid
OH2667985Medicaid
PA0012101380017Medicaid
PA0012101380003Medicaid
PA11311469AOtherCAQH
PA0012101380013Medicaid