Individual
DR. EUGENE YU SHENG SHIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5001 US HIGHWAY 30 W STE D, FORT WAYNE, IN 46818-9701
(260) 432-1568
(260) 432-4969
Mailing address
PO BOX 80070, FORT WAYNE, IN 46898-0070
(260) 432-1568
(260) 432-4969
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01066255A
IN
2085R0202X
Diagnostic Radiology Physician
MD19106
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147064304
—
TX
05
—
1982712162
—
ME
05
—
1982712162
—
MI
05
—
200932390
—
IN
05
—
2929362
—
OH
Enumeration date
08/28/2006
Last updated
06/04/2020
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