Provider Demographics
NPI:1982773966
Name:SHIH, IRENE (MD)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:SHIH
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:211 QUARRY RD
Mailing Address - Street 2:STE 203 MC5993
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1416
Mailing Address - Country:US
Mailing Address - Phone:650-325-6778
Mailing Address - Fax:650-325-1816
Practice Address - Street 1:211 QUARRY RD
Practice Address - Street 2:STE 203 MC5993
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1416
Practice Address - Country:US
Practice Address - Phone:650-325-6778
Practice Address - Fax:650-325-1816
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2013-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA54608207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G64787Medicare UPIN