Basic Information
Provider Information
NPI: 1932519956
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHIH
FirstName: CAROL
MiddleName: W
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1514 JEFFERSON HWY
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701212429
CountryCode: US
TelephoneNumber: 8666247637
FaxNumber:  
Practice Location
Address1: 1 BOSTON MEDICAL CTR PL
Address2: DOWLING 1 SOUTH ROOM 1322
City: BOSTON
State: MA
PostalCode: 02118
CountryCode: US
TelephoneNumber: 5049317124
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/29/2014
LastUpdateDate: 06/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X274702MAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X327365LAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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