Individual
HAIPENG SHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
12902 USF MAGNOLIA DR, MCC LAB, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
ME106987
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
1409
WI
291U00000X
Clinical Medical Laboratory
ME106987
FL
Other
Enumeration date
04/06/2006
Last updated
03/13/2025
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