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Contact Information

MICHAEL SHEN
6565 FANNIN ST
FONDREN 270
HOUSTON, TX77030-2703
 Phone: 713-441-3020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL SHEN · (Male)

NPI # 1558471441
Status Active
Credentials
Entity Individual
Enumeration date 08/30/2006
Last updated 08/13/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TX License # P0877
  • WA License # ML00048672
  • WA License # ML20008384
  • LA Medicaid 2315102
  • TX Medicaid 287037001
  • TX Medicaid 287037002
  • TX Other 1558471441 BLUE CROSS BLUE SHIELD
  • TX Other P01123932 RR MEDICARE
Hospital affiliation(s)
  • PEACEHEALTH SOUTHWEST MEDICAL CENTER - (Acute Care)
    400 NE MOTHER JOSEPH PLACE
    VANCOUVER, WA 98668
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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