| Shang Medical Pllc | |
|
4316 215th St Apt 1 Bayside NY 11361-2976 | |
| (718) 355-9808 | |
| Not Available |
| Full Name | Shang Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4316 215th St Apt 1, Bayside, New York |
| Authorized Official Name and Position | Yueting Shang (MD) |
| Authorized Official Contact | 7183559808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shang Medical Pllc 4316 215th St Apt 1 Bayside NY 11361-2976 Ph: (718) 355-9808 | Shang Medical Pllc 4316 215th St Apt 1 Bayside NY 11361-2976 Ph: (718) 355-9808 |
| NPI Number | 1396190963 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 5395030910 |
|---|---|
| Medicare Enrollment ID | O20160822002023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396190963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yueting Shang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093067498 PECOS PAC ID: 9638393598 Enrollment ID: I20140616000514 |
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