Individual
STEVEN SHANKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 W 89TH STREET, NEW YORK, NY 10024-2037
(216) 255-5700
(216) 255-5701
Mailing address
23625 COMMERCE PARK, SUITE 204, BEACHWOOD, OH 44122
(216) 255-5701
(216) 255-5701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
150508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016624150001
—
PA
05
—
12317801
—
AZ
01
—
209756897
TRICARE SOUTH
—
05
—
2510769
—
OH
01
—
341958451020
MEDICAL MUTUAL
OH
01
—
34195845110024
TRICARE WEST
—
01
—
71R36
BCBS
NY
05
—
807443900
—
ID
01
—
P00163856
RXR MEDICARE
NY
Enumeration date
12/12/2005
Last updated
02/17/2015
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