Individual
SHANOE CUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8745 AERO DRIVE, SUITE 200, SAN DIEGO, CA 92123-1774
(858) 565-0950
(858) 244-1100
Mailing address
PO BOX 23540, SAN DIEGO, CA 92193-3540
(858) 565-0950
(858) 244-1100
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A78637
CA
2085N0700X
Neuroradiology Physician
A78637
CA
2085N0904X
Nuclear Radiology Physician
A78637
CA
2085P0229X
Pediatric Radiology Physician
A78637
CA
2085R0202X
Diagnostic Radiology Physician
A78637
CA
2085R0203X
Therapeutic Radiology Physician
A78637
CA
2085U0001X
Diagnostic Ultrasound Physician
Primary
A78637
CA
208VP0000X
Pain Medicine Physician
A78637
CA
208VP0014X
Interventional Pain Medicine Physician
A78637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083810
—
CA
05
—
GR0083811
—
CA
05
—
GR0083812
—
CA
05
—
GR0083813
—
CA
05
—
GR0083814
—
CA
05
—
GR0083815
—
CA
05
—
GR0083816
—
CA
05
—
GR0083817
—
CA
05
—
ZZZ75341Z
—
CA
Enumeration date
06/01/2006
Last updated
10/09/2007
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