Individual provider Active NPI

Shan M. Pradhan, MD

  • Hematology & Oncology Physician
  • Chapel Hill, NC
National Provider Identifier
1154535565
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2007-00792 Issued in NC
Practice address
Unc Chapel Hill Division of Hematology Oncology
CB# 7305, 3009 Old Clinic BLDG.
Chapel Hill, NC 27599-7305
Phone
(919) 966-1996
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2007-00792 NC Primary

Addresses

Primary practice location

Unc Chapel Hill Division of Hematology Oncology
CB# 7305, 3009 Old Clinic BLDG.
Chapel Hill, NC 27599-7305

Mailing address

Unc Chapel Hill Hem Onc
CB#7305, Pob 3Rd Floor, 170 Manning Drive
Chapel Hill, NC 27599-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-00792NCMDHematology & Oncology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1154535565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC CHAPEL HILL HEM ONC",
            "address_2": "CB#7305, POB 3RD FLOOR, 170 MANNING DRIVE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC CHAPEL HILL DIVISION OF HEMATOLOGY ONCOLOGY",
            "address_2": "CB# 7305, 3009 OLD CLINIC BLDG.",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997305",
            "telephone_number": "919-966-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "SHAN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2007-00792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.