Organization
SHANNON MCCARTHY MD INC
Active
Organization
SHANNON MCCARTHY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON K MCCARTHY MD (PRESIDENT)
(219) 769-4371
Entity
Organization
Contact information
Practice address
9001 BROADWAY, SUITE D, MERRILLVILLE, IN 46410-7041
(219) 769-4371
(219) 756-4610
Mailing address
9001 BROADWAY, SUITE D, MERRILLVILLE, IN 46410-7041
(219) 769-4371
(219) 756-4610
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01031401A
IN
Other
Enumeration date
03/22/2008
Last updated
03/22/2008
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