Christopher W Shanahan, MD, MPH
Internal Medicine in Mattapan, Massachusetts
1730184854- Practice location
- 1575 Blue Hill Ave, Mattapan, MA 02126-2122
- Phone
- 617-829-6006
- Fax
- 617-296-5408
- Last updated
- February 2, 2022
Christopher W Shanahan is an Internal Medicine based in Mattapan, MA. Christopher W Shanahan practices in Mattapan, MA and has the professional credentials of MD, MPH. The NPI Number for Christopher W Shanahan is 1730184854 and holds a License No. 74099 (MA). The current practice location address for Christopher W Shanahan is 1575 Blue Hill Ave, Mattapan, MA 02126-2122 and can be reached out via phone at 617-829-6006 and via fax at 617-296-5408.
Provider Profile Details
- NPI Number
- 1730184854
- Provider Name
- Christopher W Shanahan
- Credential
- MD, MPH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1575 Blue Hill Ave, Mattapan, MA 02126-2122
- Phone Number
- 617-829-6006
- Fax Number
- 617-296-5408
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 15, 2005
- Last Update Date
- February 2, 2022
- Certification Date
- February 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1575 Blue Hill Ave
Mattapan, MA 02126-2122 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2122
- Phone Number
- 617-829-6006
- Fax Number
- 617-296-5408
Provider Business Mailing Address Details
- Address
- 801 Albany St Fl G
Boston, MA 02119-3791 - City
- Boston
- State
- MA
- Zip
- 02119-3791
License Information
- License Number (1)
- 74099
- License State (1)
- MA
- Taxonomy (1)
- Preventive Medicine, Addiction Medicine · 2083A0300X
- License Number (2)
- 74099
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Christopher W Shanahan, MD, MPH?
The NPI number of Christopher W Shanahan, MD, MPH is 1730184854. It was assigned on June 15, 2005 and is currently active in the NPPES registry.
What is the specialty of Christopher W Shanahan, MD, MPH?
Christopher W Shanahan, MD, MPH is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 74099.
Where does Christopher W Shanahan, MD, MPH practice?
The practice location is 1575 Blue Hill Ave, Mattapan, MA 02126-2122. The office can be reached at 617-829-6006 (phone) or 617-296-5408 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730184854 directly on the NPPES registry website.