Individual
SHAWNA MICHELLE RESHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1106 ANNAPOLIS RD STE 310, ODENTON, MD 21113
(410) 874-1400
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-5412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D75562
MD
208000000X
Pediatrics Physician
D75562
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066266600
—
MD
Enumeration date
04/29/2009
Last updated
12/28/2023
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