Provider Demographics
NPI:1154535565
Name:PRADHAN, SHAN M (MD)
Entity type:Individual
Prefix:
First Name:SHAN
Middle Name:M
Last Name:PRADHAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:UNC CHAPEL HILL HEM ONC
Mailing Address - Street 2:CB#7305, POB 3RD FLOOR, 170 MANNING DRIVE
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNC CHAPEL HILL DIVISION OF HEMATOLOGY ONCOLOGY
Practice Address - Street 2:CB# 7305, 3009 OLD CLINIC BLDG.
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7305
Practice Address - Country:US
Practice Address - Phone:919-966-1996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2007-00792207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology