Doctor Name: | WILLIAM S.M. SHANAHAN |
NPI Number: | 1013991116 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G41618 |
Business Practice Address: | 12401 East Washington Blvd. Presbyterian Intercommunity Hosp-radiology Department Whittier, CA - 906021006 |
Business Phone Number: | 5626980811 |
Business Fax Number: | 5623098200 |
Mailing Address: | P.o. Box 511228, LOS ANGELES |
State: | CA |
Postal Code: | 900512997 |
Phone Number: | 5626980811 |
Fax Number: | 5623098200 |
NPI Enumeration Date: | 12/01/2005 |
NPI Last Update Date: | 08/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | G41618 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |