Doctor Name: | DR. SHI SHEN SHA |
NPI Number: | 1275590317 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 121806 |
Business Practice Address: | 445 Tremont St North Tonawanda, NY - 141206150 |
Business Phone Number: | 7168592954 |
Business Fax Number: | 7168592962 |
Mailing Address: | Po Box 1368, WILLIAMSVILLE |
State: | NY |
Postal Code: | 142311368 |
Phone Number: | 7168592954 |
Fax Number: | 7168592962 |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 121806 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |