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NPI Code Detail

MEDICARE: DR. HAI SHAO M.D., PH.D.

MEDICARE:  DR. HAI  SHAO  M.D., PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianA79601CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598841033
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAI SHAO M.D., PH.D.
Provider Business Mailing Address
First Line : 3525 DEL MAR HEIGHTS RD # 806
Second Line :
City : SAN DIEGO
State : CA
Zip : 92130-2199
Country : US
Telephone Number : 619-567-3205
Fax Number :
Provider Business Practice Location Address
First Line : 3525 DEL MAR HEIGHTS RD # 806
Second Line :
City : SAN DIEGO
State : CA
Zip : 92130-2199
Country : US
Telephone Number : 619-567-3205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 02/02/2015

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