# DR. GREGORY JOHN O'SHANICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1982832960
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | 0101036956 | VA | — |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | 0101036956 | VA | Yes |
| 2084P0800X | Psychiatry Physician | 0101036956 | VA | — |

## Other

- **Enumeration date:** 06/29/2009
- **Last updated:** 03/27/2017