Individual
DR. MAE SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4050
(401) 649-4051
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP03036
RI
207R00000X
Internal Medicine Physician
Primary
MD15790
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538572896
—
RI
Enumeration date
06/04/2014
Last updated
03/05/2026
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