1609969211

Everything you always wanted to know about MS. SHEN JEANNIE MD but were afraid to ask.

MS. SHEN JEANNIE MD

You can also download the this 1609969211 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider First Name Provider Credential
MS. SHEN JEANNIE MD
Gender:
Female
Enumeration date:
2006-10-02
Last update date:
2012-06-19
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
2086X0206X Surgical Oncology CA A70643 Y
208800000X Urology CA A70643 N

Phone Numbers

Type Number
Mailing Address Telephone Number 6263563167
Practice Location Address Telephone Number 6263563167
Mailing Address Fax Number 6263569190
Practice Location Address Fax Number 6263569190

Addresses

Type Address City State Postal Country
Mailing Address 625 S FAIR OAKS AVE SUITE 300 PASADENA CA 91105 CA
Practice Location Address 625 S FAIR OAKS AVE SUITE 300 PASADENA CA 91105 CA

Other NPI Records that share a phone number

NPI Name Address State City
1598946576 JEANNIE SHEN,MD INC
Organization
625 FAIR OAKS AVE CA PASADENA

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Organization
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