Kevin John Shanaghan in Greenbrae - Family Medicine
Kevin John Shanaghan - NPI 1750318283
Kevin John Shanaghan is a Family Medicine in Greenbrae, California. Kevin John Shanaghan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kevin John Shanaghan is 1750318283. The last update date is 2022-07-06.
Kevin John Shanaghan's current location address is 1341 S Eliseo Dr Ste 200, Greenbrae, California. You can contact this provider via phone number 4154648169 and fax number 4159259712. The mailing address for Kevin John Shanaghan is 1341 S Eliseo Dr Ste 200, Greenbrae, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin John Shanaghan |
|---|---|
| Address | 1341 S Eliseo Dr Ste 200, Greenbrae, California |
| Phone Number | 4154648169 |
| Fax Number | 4159259712 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1750318283 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2022-07-06 |
Provider Mailing Address Detail
| Address | 1341 S Eliseo Dr Ste 200 |
|---|---|
| City | Greenbrae |
| State | California (CA) |
| Post Code | 949042000 |
| Phone Number | 4154648169 |
| Fax Number | 4159259712 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS007370E |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1264101 | PA | -- | |
| 527142000 | PA | AMERIHEALTH 65 PA | |
| P004726 | PA | GATEWAY-WMG | |
| 140375 | PA | UNISON-WMG HERR'S RIDGE | |
| 146180 | PA | UNISON-WMG THURMONT | |
| 20026342 | PA | AH MERCY-WMG THURMONT | |
| 50021844 | PA | CAPITAL BC-WMG THURMONT | |
| 692270 | PA | HIGHMARK BLUE SHIELD | |
| 7429 | PA | GEISINGER | |
| 219458 | PA | MAMSI-WMG |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevin John Shanaghan by the Centers for Medicare & Medicaid Services?
The Kevin John Shanaghan has been assigned the NPI (National Provider Identifier) 1750318283 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kevin John Shanaghan?
The Kevin John Shanaghan is situated at 1341 S Eliseo Dr Ste 200, in the city of Greenbrae, state of CA, with the zip code 949042000.
What is Kevin John Shanaghan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin John Shanaghan is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Kevin John Shanaghan receive the assignment of its 1750318283 from the Centers for Medicare & Medicaid Services?
The Kevin John Shanaghan was issued its 1750318283 by the Centers for Medicare & Medicaid Services on 2006-06-28.
When was the information regarding Kevin John Shanaghan most recently updated?
The details pertaining to the Kevin John Shanaghan, including its address, specialty, and other relevant information, were last refreshed on 2022-07-06.
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