Basic Information
| Provider Information | |||||||||
| NPI: | 1730162322 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHOU | ||||||||
| FirstName: | SHYAN-YIH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 BROOKDALE PLZ | ||||||||
| Address2: | ROOM 169CHC | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112123139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182405615 | ||||||||
| FaxNumber: | 7184854064 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 BROOKDALE PLZ | ||||||||
| Address2: | ROOM 169CHC | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112123139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182405615 | ||||||||
| FaxNumber: | 7184854064 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2005 | ||||||||
| LastUpdateDate: | 10/11/2013 | ||||||||
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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 | 207RN0300X | 115033 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 0007888 | 01 | NY | GHI | OTHER | 2348361 | 01 | NY | AETNA US HEALTHCARE-HMO | OTHER | 3399809 | 01 | NY | GHI | OTHER | 562341 | 01 | NY | MEDICARE PTAN | OTHER | 115033 | 01 | NY | HIP | OTHER | 115033-B41 | 01 | NY | 1199 NBF | OTHER | 6674961-003 | 01 | NY | CIGNA-REGULAR | OTHER | 6674961-005 | 01 | NY | CIGNA- SENIORS | OTHER | P2085099 | 01 | NY | OXFORD | OTHER | 115033-A41 | 01 | NY | 1199 NBF | OTHER | 219005 | 01 | NY | WORKMAN'S COMP | OTHER | 27N002 | 01 | NY | NEIGHBORHOOD HEALTH PRO | OTHER | P1065092 | 01 | NY | OXFORD | OTHER | 00211087 | 05 | NY | MEDICAID | 0606063 | 01 | NY | AETNA US HEALTHCARE | OTHER | 1427368 | 01 | NY | UNITED HEALTHCARE | OTHER | 5002218 | 01 | NY | AETNA US HEALTHCARE-PPO | OTHER | 051AF1 | 01 | NY | EMPIRE BC/BS | OTHER | 10987 | 01 | NY | ELDERPLAN | OTHER |