Individual provider · Type 1 NPI
Michael Yuzhou Shao, MD
Vascular Surgery Physician · Fort Wayne, IN
NPI number
1508196122
Active
Practice location
1818 Carew St Ste 230
Fort Wayne, IN 46805-4764
Fax (260) 266-4638
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 036117153 (IL) |
| Vascular Surgery Physician | 2086S0129X | 036117153 (IL) |
| Vascular Surgery Physician Primary | 2086S0129X | 01092661A (IN) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
Other vascular surgery physician providers in Fort Wayne
About NPI 1508196122
Michael Yuzhou Shao, MD's National Provider Identifier is 1508196122, issued on Jan 4, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 3, 2025.