location
search-icon
person
Michael Dixon Shane, MD
Diagnostic Ultrasound Physician in Santa Rosa, California
NPI 1154401990

Michael Dixon Shane is a Diagnostic Ultrasound Physician based in Santa Rosa, CA and is specialized in Diagnostic Ultrasound. Michael Dixon Shane practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Michael Dixon Shane is 1154401990 and holds a License No. C30136 (California).

The current practice location address for Michael Dixon Shane is 121 Sotoyome St, Santa Rosa, CA and can be reached out via phone at 707-546-4062 and via fax at 707-578-6258.

Location: 121 Sotoyome St, Santa Rosa, CA, 95405-4823
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154401990
Provider Name
Michael Dixon Shane
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
121 Sotoyome St, Santa Rosa, CA, 95405-4823
Phone Number
707-546-4062
Fax Number
707-578-6258
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00C301360 05 CA
institution
Provider Business Practice Location Address Details
Address
121 Sotoyome St
City
Santa Rosa
State
California
Zip
95405-4823
Phone Number
707-546-4062
Fax Number
707-578-6258
person
Provider Business Mailing Address Details
Address
121 Sotoyome St
City
Santa Rosa
State
California
Zip
95405-4823
Phone Number
707-546-4062
Fax Number
707-578-6258
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
C30136 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
C30136 (California)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
C30136 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
C30136 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.