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DR. SHAOZHOU KEN TIAN M.D.
NPI 1285954040
Student in an Organized Health Care Education/Training Program in Clemmons, NC

Active since June 03, 2010
6435 RIVER CREST DR, CLEMMONS, NC 27012(501) 804-3545 Get Directions Write a Review

NPPES record last updated: June 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shaozhou Ken Tian M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHAOZHOU KEN TIAN M.D. (NPI 1285954040) is an individual student in an organized health care education/training program in Clemmons, North Carolina and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1285954040
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SHAOZHOU KEN TIANCredential: M.D.
Location Address6435 RIVER CREST DRClemmons, NC 27012-7295
Mailing Address6435 River Crest DrClemmons, NC 27012-7295 · (501) 804-3545
Phone(501) 804-3545
Sole ProprietorYes
Enumeration DateJune 3, 2010
✔ NPI 1285954040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
6435 RIVER CREST DR, Clemmons, NC 27012
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaozhou Tian's NPI number?

The NPI number for Shaozhou Tian is 1285954040. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Shaozhou Tian located?

Shaozhou Tian practices at 6435 River Crest Dr, Clemmons, NC 27012. The listed phone number is (501) 804-3545.

What is Shaozhou Tian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shaozhou Tian was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.