Provider Demographics
NPI:1780211755
Name:WANG, SHUHAN (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:SHUHAN
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:DR
Other - First Name:CHLOE
Other - Middle Name:SHUHAN
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MBA
Mailing Address - Street 1:147 NEW BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1721
Mailing Address - Country:US
Mailing Address - Phone:347-972-4078
Mailing Address - Fax:
Practice Address - Street 1:281 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-2019
Practice Address - Country:US
Practice Address - Phone:646-596-7386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME176612207L00000X
NJ25MA12226000207L00000X
NY331718207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology