| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JODY SHEN | 1689916918 | 2024-04-07 |
Jody Shen [F] graduated in 2013 from Duke University School Of Medicine and primarily specializes in Diagnostic Radiology.
Jody Shen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689916918. Registration indicates Jody Shen is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| PECOS ID | 244564722 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Jody Shen M.D. |
| Other Provider Name | Jody Leung-yen Shen |
| Practice Office Address | 300 PASTEUR DR STANFORD, CA US |
| Practice Office Telephone | 6507237816 |
| Mailing Address | 300 PASTEUR DR STANFORD, CA 943052200 US |
| Code | Practice | License No State |
|---|---|---|
| 2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | A143467
CA |