Individual
THERESA HUA SHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 W 15TH ST, NEW YORK, NY 10011-5903
(212) 604-6058
(212) 604-6039
Mailing address
325 W 15TH ST, NEW YORK, NY 10011-5903
(212) 604-6058
(212) 604-6039
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
238280
NY
207RX0202X
Medical Oncology Physician
238280
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03245558
—
NY
Enumeration date
03/04/2008
Last updated
02/12/2026
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