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Individual

DR. SHELLY LU

Active
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Individual

DR. SHELLY LU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G51743
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G517430
BLUE SHIELD
CA
05
00G517430
CA
01
1356390009
GROUP NPI
CA
01
1902846306
GROUP NPI
CA
01
CE1617
GROUP RAILROAD MEDICARE
CA
01
GR0016910
GROUP MEDICAID PIN
CA
01
GR0100430
GROUP MEDICAL
CA
01
P00067726
RAILROAD MEDICARE
CA
01
W11675
GROUP MEDICARE PIN
CA
01
W18762
GROUP MEDICARE PIN
CA
Enumeration date
06/30/2006
Last updated
11/26/2013
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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