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Individual

SHENANDOAH N ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 N WOLFE ST, PHIPPS 101, BALTIMORE, MD 21287-0005
(410) 955-7171
Mailing address
PO BOX 64286, BALTIMORE, MD 21264-4286

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
35-076022
OH
207T00000X
Neurological Surgery Physician
Primary
D80855
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000130227
ANTHEM
OH
01
000000221278
UNISON
OH
01
000000523189
ANTHEM
OH
05
0019505340001
PA
01
1134145006
MICHIGAN MEDICAID
MI
01
2126381
BCMH
OH
05
2126381
OH
01
2145965
AETNA
OH
01
363958
WELLCARE MEDICAID
OH
01
727615
BUCKEYE MEDICAID
OH
01
P00450169
RAILROAD MEDICARE
OH
Enumeration date
07/14/2006
Last updated
02/19/2018
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