Individual
DR. SHANNEN K. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15005 SHADY GROVE RD., STE 100, ROCKVILLE, MD 20850-6341
(301) 279-9696
(301) 251-5454
Mailing address
15005 SHADY GROVE RD., SUITE 100, ROCKVILLE, MD 20850-6341
(301) 279-9696
(301) 251-5454
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0064522
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
547371100
—
MD
Enumeration date
07/20/2006
Last updated
07/07/2011
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