Individual
DR. PATRICK JOSEPH SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 SPEER RD, BLDG B, CHESTERTOWN, MD 21620-1044
(410) 778-9300
(410) 778-9579
Mailing address
120 SPEER RD, BLDG B, CHESTERTOWN, MD 21620-1044
(410) 778-9300
(410) 778-9579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0036054
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545541300
—
MD
Enumeration date
01/10/2006
Last updated
03/28/2019
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