Provider Demographics
NPI:1730162322
Name:CHOU, SHYAN-YIH (MD)
Entity type:Individual
Prefix:DR
First Name:SHYAN-YIH
Middle Name:
Last Name:CHOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 BROOKDALE PLZ
Mailing Address - Street 2:ROOM 169CHC
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3139
Mailing Address - Country:US
Mailing Address - Phone:718-240-5615
Mailing Address - Fax:718-485-4064
Practice Address - Street 1:1 BROOKDALE PLZ
Practice Address - Street 2:ROOM 169CHC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3139
Practice Address - Country:US
Practice Address - Phone:718-240-5615
Practice Address - Fax:718-485-4064
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY115033207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0007888OtherGHI
NY2348361OtherAETNA US HEALTHCARE-HMO
NY3399809OtherGHI
NY562341OtherMEDICARE PTAN
NY115033OtherHIP
NY115033-B41Other1199 NBF
NY6674961-003OtherCIGNA-REGULAR
NY6674961-005OtherCIGNA- SENIORS
NYP2085099OtherOXFORD
NY115033-A41Other1199 NBF
NY219005OtherWORKMAN'S COMP
NY27N002OtherNEIGHBORHOOD HEALTH PRO
NYP1065092OtherOXFORD
NY00211087Medicaid
NY0606063OtherAETNA US HEALTHCARE
NY1427368OtherUNITED HEALTHCARE
NY5002218OtherAETNA US HEALTHCARE-PPO
NY051AF1OtherEMPIRE BC/BS
NY10987OtherELDERPLAN