Individual
JAY C SHIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 RAINBOW BLVD, KANSAS CITY, KS 66160-8504
(469) 463-0307
Mailing address
4001 RAINBOW BLVD, KANSAS CITY, KS 66160-8504
(469) 463-0307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
665483
TX
2085R0001X
Radiation Oncology Physician
Primary
04-46823
KS
2085R0001X
Radiation Oncology Physician
2022041017
MO
2085R0001X
Radiation Oncology Physician
TL.0007450
CO
Other
Enumeration date
04/20/2017
Last updated
08/25/2024
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