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Individual

DR. ZHIYI SHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
420 DELAWARE STREET S.E., MMC 295, MINNEAPOLIS, MN 55455
(612) 624-9025
(612) 624-8111
Mailing address
420 DELAWARE STREET S.E., MMC 295, MINNEAPOLIS, MN 55455
(612) 624-9025
(612) 624-8111

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
A87661
CA
2084N0400X
Neurology Physician
Primary
87902
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A876610
MEDICAL PPIN #
CA
05
984662100
MN
Enumeration date
07/14/2006
Last updated
01/12/2010
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