Shane Michael Hagen, MD is a student in an organized health care education training program in Memphis, TN with 5 years of experience. 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 Michael Hagen, MD NPI is 1538725742. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2019
The provider's business location address is:
1030 JEFFERSON AVE
MEMPHIS, TN
ZIP 38104-127
Phone: (901) 523-8990
The NPI 1538725742 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 5/13/2019 and was last updated on 5/13/2019.