Shao, Weiru
Shao, Weiru is an individual health care provider with primary practice located at 1493 Cambridge St Surgery, Cambridge MA 02139-1047. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Shao, Weiru can be contacted via phone (617) 665-2555.Contact Information
Primary practice address
1493 Cambridge St Surgery
Cambridge MA 02139-1047
Phone: (617) 665-2555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | MD450439 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 220281 | Massachusetts |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 220281 | Massachusetts |
Profile Details
| NPI number | 1164534343 |
|---|---|
| LBN Legal business name | Shao, Weiru |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 18th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164534343 | NPPES |
| Other | 8150376 | CIGNA | |
| Other | 3011586 | CIGNA | |
| Other | PO1258059 | CIGNA | |
| Other | 421692 | CIGNA | |
| Other | 7395417 | CIGNA |
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