Individual
SHANI CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4185
IA
208000000X
Pediatrics Physician
N4998
TX
208000000X
Pediatrics Physician
Primary
OS12051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009381200
—
FL
05
—
19242526322
—
IA
Enumeration date
04/11/2010
Last updated
12/01/2016
Update your record
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