| Shine Nee Teng Md Inc | |
|
3000 Colby St Ste 200 Berkeley CA 94705-2058 | |
| (510) 665-8886 | |
| (510) 665-8889 |
| Full Name | Shine Nee Teng Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 Colby St Ste 200, Berkeley, California |
| Authorized Official Name and Position | Shine Nee Teng (CEO) |
| Authorized Official Contact | 5106658886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Nee Teng Md Inc 3000 Colby St Ste 200 Berkeley CA 94705-2058 Ph: (510) 665-8886 | Shine Nee Teng Md Inc 3000 Colby St Ste 200 Berkeley CA 94705-2058 Ph: (510) 665-8886 |
| NPI Number | 1134282502 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 12/28/2022 |
| Medicare PECOS PAC ID | 7113976853 |
|---|---|
| Medicare Enrollment ID | O20050119001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134282502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shine-nee Teng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689747990 PECOS PAC ID: 0749239481 Enrollment ID: I20050119001083 |
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