Individual
DR. TIANCHU SHIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3516 S HOLLY ST, DENVER, CO 80237-1112
(630) 453-7393
Mailing address
3516 S HOLLY ST, DENVER, CO 80237-1112
(630) 453-7393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0060179
CO
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0060179
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096514 2
—
IL
01
—
P00352142
MEDICARE RAILROAD PIN
IL
Enumeration date
07/03/2006
Last updated
06/21/2024
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