Doctor Name: | DR. NAI HUA SHU |
NPI Number: | 1073522249 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD 103976 |
Business Practice Address: | 1600 Lebanon Ave Suite 101 Belleville, IL - 622212491 |
Business Phone Number: | 6182396269 |
Business Fax Number: | |
Mailing Address: | 3206 Clifton Ave Apt B, SAINT LOUIS |
State: | MO |
Postal Code: | 631392363 |
Phone Number: | 3146475678 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD 103976 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |