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Individual

YAN SHI

Active
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Individual

YAN SHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
35.140369
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35.140369
OHIO MEDICAL BOARD
OH
01
557792
TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING
TX
01
BP10039781
TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING PERMIT
TX
Enumeration date
10/30/2011
Last updated
04/21/2021
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