# MICHAEL SHEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558471441
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | P0877 | TX | Yes |
| 207R00000X | Internal Medicine Physician | ML00048672 | WA | — |
| 207R00000X | Internal Medicine Physician | ML20008384 | WA | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/13/2014

## 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 |
