EMERALD BAY CENTER FOR WOMEN'S HEALTH INC. NPI 1164679940

NPI Information

EMERALD BAY CENTER FOR WOMEN'S HEALTH, INC. is an obstetrics gynecology in South Lake Tahoe, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. EMERALD BAY CENTER FOR WOMEN'S HEALTH, INC. NPI is 1164679940. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1154 EMERALD BAY RD
SOUTH LAKE TAHOE, CA
ZIP 96150-288
Phone: (530) 542-4961
Fax: (530) 542-4964

The provider's authorized official is M. Kelly Shanahan .
The authorized official title is Physician/owner and has the following contact phone number (530) 542-4961.

The enumeration date for this NPI number is 8/22/2008 and was last updated on 7/30/2013.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.