Shan Zhao, MD, PHD | |
707 E Main St, Middletown, NY 10940-2650 | |
(845) 333-1000 | |
Not Available |
Full Name | Shan Zhao |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 707 E Main St, Middletown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548764020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01090430A (Indiana) | Secondary |
207L00000X | Anesthesiology | MD-22286-0 (Hawaii) | Secondary |
207L00000X | Anesthesiology | 312805 (New York) | Primary |
Entity Name | Montefiore Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Entity Name | Premier Anesthesia Of New York, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063658961 PECOS PAC ID: 7719041102 Enrollment ID: O20090129000560 |
Entity Name | Icahn School Of Medicine At Mount Sinai |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439 |
Entity Name | Montefiore New Rochelle Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295163244 PECOS PAC ID: 0345474706 Enrollment ID: O20150310001611 |
Mailing Address | Practice Location Address |
---|---|
Shan Zhao, MD, PHD 1329 Lusitana St Ste 604, Honolulu, HI 96813-2431 Ph: () - | Shan Zhao, MD, PHD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-1000 |
Dr. Charles Bou, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1445 | |
Dr. Esaak John Mullaev, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1000 | |
Dr. Ebubechukwu Oluchi Nwigwe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1000 | |
Dr. Michael B Putter, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 707 E. Main St., Middletown, NY 10940 Phone: 854-333-1445 | |
Dr. Syung Soo Kiim, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 60 Prospect Ave, Middletown, NY 10940 Phone: 845-343-6216 | |
Francine A Minor, APRN, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1000 | |
Yael Shinar, Anesthesiology Medicare: Medicare Enrolled Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1000 |