Shannon, Karen Wang

Shannon, Karen Wang is an individual health care provider with primary practice located at 812 Nw 57Th St , Gainesville FL 32605-6414. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Shannon, Karen Wang can be contacted via phone (352) 519-5420.

Contact Information

Primary practice address
812 Nw 57Th St Gainesville FL 32605-6414
Phone: (352) 519-5420
Fax: (352) 333-6249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME81339 Florida
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X ME81339 Florida

Profile Details

NPI number 1124087317
LBN Legal business name Shannon, Karen Wang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 19th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124087317 NPPES
Florida MEDICAID 053127800

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