Individual
DR. YU CHO SHIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32788
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
01
—
2133695
OH MEDICAID
OH
01
—
250695000
MAGELLAN
KY
01
—
61-0991301
CORPORATION TAX ID
KY
05
—
64327885
—
KY
Enumeration date
10/06/2006
Last updated
03/17/2018
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