Basic Information
| Provider Information | |||||||||
| NPI: | 1154535565 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | PRADHAN | ||||||||
| FirstName: | SHAN | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | UNC CHAPEL HILL HEM ONC | ||||||||
| Address2: | CB#7305, POB 3RD FLOOR, 170 MANNING DRIVE | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275990001 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | UNC CHAPEL HILL DIVISION OF HEMATOLOGY ONCOLOGY | ||||||||
| Address2: | CB# 7305, 3009 OLD CLINIC BLDG. | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199661996 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2007 | ||||||||
| LastUpdateDate: | 01/29/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | 2007-00792 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.