Individual provider · Type 1 NPI
Michael Dixon Shane, MD
Diagnostic Radiology Physician · Santa Rosa, CA
NPI number
1154401990
Active
Practice location
121 Sotoyome St
Santa Rosa, CA 95405-4823
Fax (707) 578-6258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician | 2085B0100X | C30136 (CA) |
| Nuclear Radiology Physician | 2085N0904X | C30136 (CA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | C30136 (CA) |
| Diagnostic Ultrasound Physician | 2085U0001X | C30136 (CA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1154401990
Michael Dixon Shane, MD's National Provider Identifier is 1154401990, issued on Oct 16, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 7, 2009.