| Shidong Chen, | |
|
155 N Fresno St, Fresno, CA 93701-2302 | |
| (559) 499-6556 | |
| Not Available |
| Full Name | Shidong Chen |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 155 N Fresno St, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306371323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A163229 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Entity Name | Regents Univ Of California Ucsf |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Shidong Chen, 155 N Fresno St, Fresno, CA 93701-2302 Ph: () - | Shidong Chen, 155 N Fresno St, Fresno, CA 93701-2302 Ph: (559) 499-6556 |
Wilfred Derksen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1570 E Herndon Ave, Fresno, CA 93720 Phone: 559-437-7300 Fax: 559-437-7153 | |
Dr. Jean Rankin Butterfield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2719 N Air Fresno Dr, Fresno, CA 93727 Phone: 559-600-8918 | |
Dr. Mary A Gonzalez-howard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4770 W Herndon Ave, Suite 108, Fresno, CA 93722 Phone: 559-256-7990 Fax: 559-256-7991 | |
Nilufer Raj Goyal-shockley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 N Fresno St, Fresno, CA 93720 Phone: 559-448-4500 | |
Dr. Nitika Narinder Dhir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 155 N Fresno St, Ste 326, Fresno, CA 93701 Phone: 559-499-6466 | |
Denise Der Knudson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4785 N 1st St, Fresno, CA 93726 Phone: 559-448-4894 | |
Reem Aboushaar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-443-2682 Fax: 559-443-2681 |