DR. BRENDA M. SHANK MD PHD NPI 1710037536

NPI Information

NPI: 1710037536
Provider Name: DR. BRENDA M. SHANK, MD, PHD
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
2000 VALE RD
DOCTORS MEDICAL CENTER
SAN PABLO, CA
ZIP 94806
Phone: (510) 970-5667
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DR. Brenda M. Shank, MD, PHD is a radiation oncology radiology in San Pablo, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Brenda M. Shank, MD, PHD NPI is 1710037536. 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:

2000 VALE RD
DOCTORS MEDICAL CENTER
SAN PABLO, CA
ZIP 94806-808
Phone: (510) 970-5667
Fax: (510) 970-5743

The enumeration date for this NPI number is 1/12/2007 and was last updated on 10/2/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	G44045	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00G440450	MEDICARE ID-TYPE UNSPECIFIED
2	00G440450	MEDICAID	CALIFORNIA
3	B13365	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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