Individual
DR. TAI CHI SHAN
Active
Individual
DR. TAI CHI SHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
0101042637
VA
152WP0200X
Pediatric Optometrist
Primary
D45187
MD
152WP0200X
Pediatric Optometrist
MD17409
DC
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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