Active NPI
Mian Shen, M.D.
- Anesthesiology Physician
- Bethesda, MD
National Provider Identifier
1639367824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D65803
- Practice address
- Dept of Anestheisa & Surgical Services Nih/CC
BLDG 10/RM 2C624
Bethesda, MD 20892-0001 - Phone
- (301) 402-3807
- NPI assigned
- Oct 12, 2007
- Last updated
- Oct 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D65803 | MD | Primary |
Addresses
Primary practice location
Dept of Anestheisa & Surgical Services Nih/CC
BLDG 10/RM 2C624
Bethesda, MD 20892-0001
Mailing address
10704 Gloxinia Dr
Rockville, MD 20852-3404
Phone (240) 463-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D65803 | MD | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1639367824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10704 GLOXINIA DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523404",
"telephone_number": "240-463-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT OF ANESTHEISA & SURGICAL SERVICES NIH/CC",
"address_2": "BLDG 10/RM 2C624",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-402-3807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "MIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D65803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.