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DR. ROBIN SHANAHAN NPI 1023050572


NPI Information

NPI: 1023050572
Provider Name: DR. ROBIN SHANAHAN
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
747 52ND ST
OAKLAND, CA
ZIP 94609
Phone: (510) 428-3590
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DR. Robin Shanahan is a neurology with special qualifications in child neurology psychiatry neurology in Oakland, CA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Robin Shanahan NPI is 1023050572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

747 52ND ST
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3590
Fax: (510) 601-3974

The enumeration date for this NPI number is 6/11/2006 and was last updated on 2/19/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsG40725CALIFORNIANo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyG40725CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G407250MEDICAIDCALIFORNIA
2GR0094870MEDICAIDCALIFORNIA

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: 11/14/2023

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