Provider Demographics
NPI:1972887438
Name:SHAVIT, CANDACE WAN-PING (MD)
Entity type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:WAN-PING
Last Name:SHAVIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CANDACE
Other - Middle Name:WAN-PING
Other - Last Name:CHENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:513 PARNASSUS AVE
Mailing Address - Street 2:ROOM S436, BOX 0427
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2205
Mailing Address - Country:US
Mailing Address - Phone:510-828-7238
Mailing Address - Fax:415-514-0185
Practice Address - Street 1:513 PARNASSUS AVE
Practice Address - Street 2:ROOM S436, BOX 0427
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2205
Practice Address - Country:US
Practice Address - Phone:510-828-7238
Practice Address - Fax:415-514-0185
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program