SHANAHAN RHEUMATOLOGY AND IMMUNOTHERAPY PLLC NPI 1912235268

NPI Information

NPI: 1912235268
Provider Name: SHANAHAN RHEUMATOLOGY AND IMMUNOTHERAPY, PLLC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
10208 CERNY STREET
WAKE MED BRIER CREEK MEDICAL PARK
RALEIGH, NC
ZIP 27617
Phone: (919) 949-2228
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SHANAHAN RHEUMATOLOGY AND IMMUNOTHERAPY, PLLC is a rheumatology internal medicine in Raleigh, NC. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. SHANAHAN RHEUMATOLOGY AND IMMUNOTHERAPY, PLLC NPI is 1912235268. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10208 CERNY STREET
WAKE MED BRIER CREEK MEDICAL PARK
RALEIGH, NC
ZIP 27617
Phone: (919) 949-2228

The provider's authorized official is Nicole Couture .
The authorized official title is Billing Agent and has the following contact phone number (413) 772-8500.

The enumeration date for this NPI number is 11/25/2009 and was last updated on 2/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	9801767	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2312411	MEDICARE PIN	NORTH CAROLINA
2	890138J	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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