Shang, Charles
Shang, Charles is an individual health care provider with primary practice located at 136 Glasson Way , Grass Valley CA 95945-5706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shang, Charles can be contacted via phone (530) 272-8452.Contact Information
Primary practice address
136 Glasson Way
Grass Valley CA 95945-5706
Phone: (530) 272-8452
Fax: (530) 477-5182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L4709 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 225106 | Massachusetts |
Profile Details
| NPI number | 1104805902 |
|---|---|
| LBN Legal business name | Shang, Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jun 16th, 2023 - about last year |
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 | 1104805902 | NPPES |
| Texas | Other | 157966606 | MEDICAID CSHCN |
| Texas | MEDICAID | 157966605 | MEDICAID CSHCN |
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