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Individual
MICHAEL SHEN
Active
Individual
MICHAEL SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
P0877
TX
207R00000X
Internal Medicine Physician
ML00048672
WA
207R00000X
Internal Medicine Physician
ML20008384
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558471441
BLUE CROSS BLUE SHIELD
TX
05
—
2315102
—
LA
05
—
287037001
—
TX
05
—
287037002
—
TX
01
—
P01123932
RR MEDICARE
TX
Enumeration date
08/30/2006
Last updated
08/13/2014
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