Individual
DR. SHANNON E O'MAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 JOHN Q HAMMONS DR, SUITE 400, MADISON, WI 53717-1959
(608) 410-2700
(608) 410-2905
Mailing address
1200 JOHN Q HAMMONS DR, SUITE 400, MADISON, WI 53717-1959
(608) 410-2700
(608) 410-2905
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
52434-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366569899
—
WI
Enumeration date
03/22/2007
Last updated
10/27/2020
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