Individual
SHAN ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1000
Mailing address
1329 LUSITANA ST STE 604, HONOLULU, HI 96813-2431
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01090430A
IN
207L00000X
Anesthesiology Physician
036172758
IL
207L00000X
Anesthesiology Physician
Primary
312805
NY
207L00000X
Anesthesiology Physician
MD-22286-0
HI
Other
Enumeration date
03/20/2018
Last updated
05/21/2025
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