Individual
MATTHEW JOHN SHADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22 S GREENE ST, DEPT. OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-8667
Mailing address
22 S GREENE ST., DEPT. OF RADIOLOGY, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C2-0024024
DE
2085R0202X
Diagnostic Radiology Physician
Primary
H0098963
MD
2085R0202X
Diagnostic Radiology Physician
OS024784
PA
Other
Enumeration date
03/25/2019
Last updated
08/19/2025
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