Provider Demographics
NPI:1528312055
Name:WANG, SHIHYEE MIMI (MD)
Entity type:Individual
Prefix:DR
First Name:SHIHYEE
Middle Name:MIMI
Last Name:WANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 PRICE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1433
Mailing Address - Country:US
Mailing Address - Phone:650-701-1882
Mailing Address - Fax:
Practice Address - Street 1:570 PRICE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1433
Practice Address - Country:US
Practice Address - Phone:650-701-1882
Practice Address - Fax:650-701-1886
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-06
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA123522207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology