Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 238280 | NY |
N | 207RX0202X | Medical Oncology | 238280 | NY |
NPI | 1134399306 |
---|---|
Provider Name | Theresa Hua Shao |
First Address | New York, NY 10011-5903 |
Second Address | New York, NY 10011-5903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2008 |
Last Update Date | 19/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03245558 | (05) | NY |
A400031662 | (02) | NY |