Individual
DR. ROBIN SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3590
(510) 601-3974
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G40725
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G40725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G407250
—
CA
05
—
GR0094870
—
CA
Enumeration date
06/11/2006
Last updated
02/19/2013
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