Individual
DR. RYAN W SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
743 ISLAND RD, BRISTOL, VA 24201
(276) 469-4200
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40280
IA
207RH0003X
Hematology & Oncology Physician
Primary
0101258184
VA
207RH0003X
Hematology & Oncology Physician
52945
TN
Other
Enumeration date
06/10/2009
Last updated
10/10/2023
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