Individual
DR. CATHERINE E. SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8989 S ORANGE AVE, ORLANDO, FL 32824-7904
(707) 339-1976
(407) 386-7383
Mailing address
8989 S ORANGE AVE, ORLANDO, FL 32824-7904
(707) 339-1976
(407) 386-7383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0055110
CO
207Q00000X
Family Medicine Physician
Primary
55955
CT
207Q00000X
Family Medicine Physician
C54747
CA
207Q00000X
Family Medicine Physician
MD-11164
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0224863
HMSA
—
01
—
2494488
UHA
—
01
—
49577201
ALOHACARE
—
05
—
49577201
—
HI
01
—
99-0262194
HMA
—
01
—
G48893
KAISER
—
01
—
MD11164-01
LONGS/MDX
—
01
—
P00071255
RAILROAD MEDICARE
—
Enumeration date
07/12/2006
Last updated
02/03/2020
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