Shane Carlos Carrillo, M.D. is a student in an organized health care education training program in Richmond, VA. The provider is 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. Shane Carlos Carrillo, M.D. NPI is 1114453511. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
107 S. 5TH ST.
RICHMOND, VA
ZIP 23219
Phone: (804) 828-7912
The NPI 1114453511 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/4/2017 and was last updated on 7/28/2021.