Edward N. Shen, M.d., Inc. | |
1380 Lusitana Street #701 Honolulu HI 96813 | |
(808) 587-8200 | |
(808) 531-8201 |
Full Name | Edward N. Shen, M.d., Inc. |
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Speciality | Internal Medicine |
Location | 1380 Lusitana Street, Honolulu, Hawaii |
Authorized Official Name and Position | Edward N Shen (PHYSICIAN) |
Authorized Official Contact | 8085878200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edward N. Shen, M.d., Inc. 1380 Lusitana Street #701 Honolulu HI 96813 Ph: (808) 587-8200 | Edward N. Shen, M.d., Inc. 1380 Lusitana Street #701 Honolulu HI 96813 Ph: (808) 587-8200 |
NPI Number | 1366743437 |
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Provider Enumeration Date | 11/05/2010 |
Last Update Date | 11/05/2010 |
Medicare PECOS PAC ID | 6305032939 |
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Medicare Enrollment ID | O20101122001161 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366743437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD5430 (Hawaii) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | MD5430 (Hawaii) | Primary |
Provider Name | Edward N Shen |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1609861822 PECOS PAC ID: 9739375361 Enrollment ID: I20101122001212 |
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