Individual
KEITH SHONNARD
Active
Individual
KEITH SHONNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7398
NV
2085R0202X
Diagnostic Radiology Physician
G87403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002013091
—
NV
01
—
300064321
RAILROAD MEDICARE
NV
01
—
CK658Y
MEDICARE PTAN
CA
01
—
FS4913489
MEDI-CAL
CA
Enumeration date
07/07/2006
Last updated
01/28/2026
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