Individual
YANFU SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3325
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(210) 707-3325
(614) 293-6479
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35078688
OH
207L00000X
Anesthesiology Physician
Primary
MD444213
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2248928
—
OH
Enumeration date
04/20/2006
Last updated
02/25/2019
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