Individual provider · Type 1 NPI
Shaozhou Ken Tian, MD
Student in an Organized Health Care Education/Training Program · Clemmons, NC
NPI number
1285954040
Active
Practice location
6435 River Crest Dr
Clemmons, NC 27012-7295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Clemmons
About NPI 1285954040
Shaozhou Ken Tian, MD's National Provider Identifier is 1285954040, issued on Jun 3, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clemmons, NC. The record was last updated on Jun 3, 2010.