Individual
PERRY SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-6637
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-6637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200001287
NC
2086S0102X
Surgical Critical Care Physician
200001287
NC
2086X0206X
Surgical Oncology Physician
200001287
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1263M
BCBS
—
05
—
2004821000
—
WV
01
—
20051995
RR MEDICARE
—
01
—
37161
PARTNERS
—
05
—
7301138
—
VA
01
—
7354316
AETNA
—
05
—
891263M
—
NC
01
—
99591
MEDCOST
—
Enumeration date
12/13/2005
Last updated
11/12/2010
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