Provider Demographics
NPI:1528717923
Name:FU, SHEN KANG (PHD)
Entity type:Individual
Prefix:
First Name:SHEN KANG
Middle Name:
Last Name:FU
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 STERLING ST
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2935
Mailing Address - Country:US
Mailing Address - Phone:832-298-9087
Mailing Address - Fax:
Practice Address - Street 1:54 STERLING ST
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2935
Practice Address - Country:US
Practice Address - Phone:832-298-9087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA327601171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist