Jay C Shiao, M.D.
in Kansas City, KS. Individual provider (NPI-1).
NPI number1063947653
StatusActive
Last updated in NPPESAug 25, 2024
Details
- NPI
- 1063947653
- Entity type
- Individual (NPI-1)
- Name
- Jay C Shiao
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2017
- Certification date
- Aug 25, 2024
- Last updated
- Aug 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 04-46823 | KS | Yes | |
| 207R00000X | Internal Medicine | 665483 | TX | |
| 2085R0001X | 2022041017 | MO | ||
| 2085R0001X | TL.0007450 | CO |
Practice location
4001 Rainbow BlvdKansas City, KS 66160-8504
Phone 469-463-0307
Mailing address
4001 Rainbow BlvdKansas City, KS 66160-8504
Phone 469-463-0307
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