Dr. Phillip Y Shou PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101041517 Issued in VA

Legal business name

DR. PHILLIP Y SHOU PC

Doing business as

Dr. phillip y shou pc

Practice address

2801 Boulevard
Suite D
Colonial Heights, VA 23834-2323

Phone

(804) 526-3821

Fax

(804) 526-6065

NPI assigned

Jul 6, 2010

Last updated

Jul 6, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phillip Y Shou, M.D

Title

Officer

Phone

(804) 526-3821

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. phillip y shou pc Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1861704926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BOULEVARD",
            "address_2": "SUITE D",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342323",
            "telephone_number": "804-526-3821",
            "fax_number": "804-526-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BOULEVARD",
            "address_2": "SUITE D",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342323",
            "telephone_number": "804-526-3821",
            "fax_number": "804-526-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PHILLIP Y SHOU PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "SHOU",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "804-526-3821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101041517",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101041517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6751300",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. phillip y shou pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.