Individual
DR. MICHAEL E SHAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
608 NEW HOPE RD STE 7, PRINCETON, WV 24740-2287
(304) 487-1076
(304) 425-9499
Mailing address
PO BOX 1559, PRINCETON, WV 24740-1559
(304) 487-1076
(304) 425-9499
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14482
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123913000
—
WV
Enumeration date
07/21/2005
Last updated
09/20/2013
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