Male or Other

William S. Shanahan MD

Diagnostic Radiology Physician in Whittier, CA(View on Map)

Full Name

William S.M. Shanahan MD

NPI Number

1013991116

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/01/2005

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

California

License Number

G41618

Contact
Information

Purpose

Mailing
Location

Address

P.O. BOX 511228
12401 EAST WASHINGTON BLVD.

City

Los Angeles
Whittier

State

CA
CA

Postal Code

90051-2997
90602-1006

Country

US
US

Telephone Number

(562) 698-0811
(562) 698-0811

Identifiers

Identifier

00GH16180
1205815107
00G756000

Identifier State

CA
CA
CA

Identifier Issuer

MEDI CAL
Unknown
BS OF CALIFORNIA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/13/2012

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