Individual
SHIYI SARAH PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-6000
(352) 384-7683
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-6000
(352) 384-7683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME143681
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME143681
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105883100
—
FL
Enumeration date
03/28/2017
Last updated
09/13/2024
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