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NPI Code Detail

MEDICARE: GUOHONG SHAO

MEDICARE: GUOHONG SHAO
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
1363L00000XNurse PractitionerAPRN.CNP.021051OH

General Provider Information

NPI Number : 1689194870
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUOHONG SHAO
Provider Business Mailing Address
First Line : 5700 KARL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3602
Country : US
Telephone Number : 614-846-5420
Fax Number :
Provider Business Practice Location Address
First Line : 5700 KARL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3602
Country : US
Telephone Number : 614-846-5420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 09/18/2023

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Directions to “ GUOHONG SHAO ” Practice Location

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