Individual
DR. WALES R SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1594
(718) 670-1901
Mailing address
3211 FRANCIS LEWIS BLVD, FLUSHING, NY 11358-1922
(718) 352-9850
(718) 352-0102
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
198977
NY
2085N0700X
Neuroradiology Physician
198977
NY
2085N0904X
Nuclear Radiology Physician
198977
NY
2085R0202X
Diagnostic Radiology Physician
Primary
198977
NY
2085R0203X
Therapeutic Radiology Physician
198977
NY
2085R0204X
Vascular & Interventional Radiology Physician
198977
NY
2085U0001X
Diagnostic Ultrasound Physician
198977
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01669369
—
NY
Enumeration date
04/10/2006
Last updated
11/03/2011
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