Guan, Shangbo
Guan, Shangbo is an sole proprietor health care provider with primary practice located at 275 Carpenter Dr Ne Suite 100, Atlanta GA 30328-4928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Guan, Shangbo can be contacted via phone (494) 497-9739.Contact Information
Primary practice address
275 Carpenter Dr Ne Suite 100
Atlanta GA 30328-4928
Phone: (494) 497-9739
Fax: (404) 497-9702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 044732 | Georgia |
Profile Details
| NPI number | 1811965957 |
|---|---|
| LBN Legal business name | Guan, Shangbo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Aug 12th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811965957 | NPPES |
| Georgia | MEDICAID | 000846326B |
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