Doctor Name: | TEYEN P SHIAO |
NPI Number: | 1538326152 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 11012974A |
Business Practice Address: | 2440 N 11th St Grand Junction, CO - 815018102 |
Business Phone Number: | 9702430900 |
Business Fax Number: | 9702454235 |
Mailing Address: | 2440 N 11th St, GRAND JUNCTION |
State: | CO |
Postal Code: | 815018102 |
Phone Number: | 9702430900 |
Fax Number: | 9702454235 |
NPI Enumeration Date: | 05/21/2008 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 11012974A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |