Doctor Name: | SHANNON L DANIELS |
NPI Number: | 1053533703 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | D65414 |
Business Practice Address: | 10 N Greene St Baltimore, MD - 212011524 |
Business Phone Number: | 9197242052 |
Business Fax Number: | |
Mailing Address: | 3001 Cresmont Ave, BALTIMORE |
State: | MD |
Postal Code: | 212112820 |
Phone Number: | 9197242052 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | D65414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |