Individual
DR. SHANNON L WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1509 RITCHIE HWY, ARNOLD, MD 21012-2742
(410) 757-7600
(410) 626-8043
Mailing address
1111 BENFIELD BLVD, SUITE 200, MILLERSVILLE, MD 21108-3002
(410) 729-5100
(410) 729-5156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0057448
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104
CAREFIRST BCBS- BLUE CHOICE
MD
01
—
015296
JHHC PRIORITY PARTNERS
MD
01
—
6063361
AETNA- PPO
MD
01
—
613036-05
CAREFIRST BCBS OF MARYLAND
MD
01
—
7510271
AETNA HMO
MD
05
—
776200300
—
MD
01
—
8224818
MAMSI
MD
01
—
P18945
CAREFIRST BCBS POS
MD
Enumeration date
08/11/2005
Last updated
01/24/2011
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