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Individual

DR. NAI HUA SHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 LEBANON AVE, SUITE 101, BELLEVILLE, IL 62221-2491
(618) 239-6269
Mailing address
3206 CLIFTON AVE APT B, SAINT LOUIS, MO 63139-2363
(314) 647-5678

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
MD 103976
MO
208D00000X
General Practice Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08222941
BCBS OF ILLINOIS
IL
Enumeration date
08/06/2006
Last updated
07/08/2007
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