Provider Demographics
NPI:1962429803
Name:SHIAU, YIH-FU (MD)
Entity type:Individual
Prefix:DR
First Name:YIH-FU
Middle Name:
Last Name:SHIAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 N EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-3434
Mailing Address - Country:US
Mailing Address - Phone:610-446-3350
Mailing Address - Fax:610-446-3706
Practice Address - Street 1:21 N EAGLE RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-3434
Practice Address - Country:US
Practice Address - Phone:610-446-3350
Practice Address - Fax:610-446-3706
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-034364-L207RG0100X
VA0101023699207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101023699OtherVA MD LICENSE #
PAMD-034364-LOtherPA MD LICENSE #
PA00663371/02Medicaid
VA0101023699OtherVA MD LICENSE #