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Individual
DR. THEODORE SHU
Active
Individual
DR. THEODORE SHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A80265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846303
GROUP NPI
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
12/26/2006
Last updated
12/02/2013
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