# RUQI SHI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316614779
- **Gender:** F
- **Credential:** CAA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | 75000093A | IN | Yes |
| 367H00000X | Anesthesiologist Assistant | — | NULL | — |

## Other

- **Enumeration date:** 08/24/2021
- **Last updated:** 12/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001614858 | ANTHEM PTAN | IN |