Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAI CHI SHAN, MD
ActiveDR. TAI CHI SHAN, MD is a Pediatric Optometrist healthcare provider located in GAITHERSBURG, Maryland. NPI 1518025410 is currently active in the NPPES registry. Verify at CMS.
Pediatric Optometrist · GAITHERSBURG, MD
Registration Details
- NPI Number
- 1518025410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.707638211799 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
D45187 (MD)0101042637 (VA)MD17409 (DC)
Practice Information
- Address
-
501 NORTH FREDERICK AVENUEGAITHERSBURG, MD, 208772598Browse MD providers · Browse ZIP 20877
- Phone
- 3012587203
- Fax
- 3012587294
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
- Additional Specialty
- Pediatric Optometrist
- Additional Specialty
- Pediatric Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.