Individual
DR. PAUL W SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
223 SOUTH PLEASANT AVENUE, SUITE 405, SOMERSET, PA 15501
(814) 443-4634
(814) 445-3819
Mailing address
223 SOUTH PLEASANT AVENUE, SUITE 405, SOMERSET, PA 15501
(814) 443-4634
(814) 445-3819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD043731L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108646
BLACK LUNG
PA
01
—
1136002
CIGNA
PA
05
—
1458820
—
PA
01
—
1472669
UMWA
PA
01
—
1500600
GATEWAY
PA
01
—
202749
UPMC
PA
01
—
2053147
AETNA
PA
01
—
24881
HEALTH AMERICA
PA
01
—
272084
MAMSI
PA
01
—
273847
HEALTH ASSURANCE
PA
01
—
340008349
RR MEDICARE
PA
01
—
751881
HIGHMARK BC/BS
PA
01
—
85515
UNISON
PA
01
—
953758222
PREFERRED HEALTH
PA
Enumeration date
07/24/2006
Last updated
06/26/2009
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