Basic Information
| Provider Information | |||||||||
| NPI: | 1417221326 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHIEN | ||||||||
| FirstName: | MAY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 WELCH RD STE 300 | ||||||||
| Address2: | |||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943041812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507235535 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1000 WELCH RD STE 300 | ||||||||
| Address2: | |||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943041812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507235535 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2012 | ||||||||
| LastUpdateDate: | 07/08/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A119918 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | A119918 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0207X | A119918 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology |
ID Information
| ID | Type | State | Issuer | Description | 113287 | 01 | CA | SID # 113287 | OTHER |