Basic Information
| Provider Information | |||||||||
| NPI: | 1720030117 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHIUH | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | CHRISTIANA CARE EMERGENCY DEPARTMENT | ||||||||
| Address2: | 4755 OGLETOWN-STANTON ROAD | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197180001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027331840 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | CHRISTIANA HOSPITAL EMERGENCY DEPARTMENT | ||||||||
| Address2: | 4755 OGLETOWN-STANTON ROAD | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197180001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027331840 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2006 | ||||||||
| LastUpdateDate: | 08/24/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 01010232548 | VA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | C1-0008179 | DE | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 005876435 | 05 | VA | MEDICAID | 930129166 | 01 | VA | RAILROAD MEDICARE | OTHER |