Individual
STEVEN SHANKMAN
Active
Individual
STEVEN SHANKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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