Individual
DR. PETER LAWRENCE SHANAHAN
Active
Individual
DR. PETER LAWRENCE SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL32733
SC
2085R0202X
Diagnostic Radiology Physician
Primary
50755
TN
2085R0202X
Diagnostic Radiology Physician
MD0000050755
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100404350
—
KY
05
—
Q020755
—
TN
Enumeration date
06/09/2010
Last updated
08/14/2024
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