Individual
STEVEN SHANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
026555
TN
207L00000X
Anesthesiology Physician
Primary
26555
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009992195
—
AL
01
—
3014847
BCBS PROVIDER NUMBER
TN
05
—
3095410
—
TN
05
—
64922164
—
KY
Enumeration date
07/05/2005
Last updated
11/21/2014
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