Ma, Shu-Shan
Ma, Shu-Shan is an individual health care provider with primary practice located at 1650 Grand Concourse , Bronx NY 10457-7606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ma, Shu-Shan can be contacted via phone (718) 518-5152.Contact Information
Primary practice address
1650 Grand Concourse
Bronx NY 10457-7606
Phone: (718) 518-5152
Fax: (718) 716-8242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 190754 | New York |
Profile Details
| NPI number | 1831299361 |
|---|---|
| LBN Legal business name | Ma, Shu-Shan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Sep 22nd, 2010 - about 16 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 | 1831299361 | NPPES |
| New York | MEDICAID | 02061672 |
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