person
Shane Keogh, MD
Student in an Organized Health Care Education/Training Program in Johnson City, New York
NPI 1114314937

Shane Keogh is a Student in an Organized Health Care Education/Training Program based in Johnson City, NY. Shane Keogh practices in Johnson City, NY and has the professional credentials of MD. The NPI Number for Shane Keogh is 1114314937 and holds a License No. D0091217 (New York).

The current practice location address for Shane Keogh is 33-57 Harrison St, Johnson City, NY and can be reached out via phone at 607-763-6674 and via fax at 607-798-1629.

Location: 33-57 Harrison St, Johnson City, NY, 13790-2580
person
Provider Profile Details
NPI Number
1114314937
Provider Name
Shane Keogh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
33-57 Harrison St, Johnson City, NY, 13790-2580
Phone Number
607-763-6674
Fax Number
607-798-1629
Provider Enumeration Date
04/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
33-57 Harrison St
City
State
Zip
13790-2107
Phone Number
607-763-6674
Fax Number
607-798-1629
person
Provider Business Mailing Address Details
Address
33-57 Harrison St
City
State
Zip
13790-2107
Phone Number
607-763-6674
Fax Number
607-798-1629
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
D0091217 (Maryland)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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