Crawford, Shannon David

Crawford, Shannon David is an individual health care provider with primary practice located at 795 Willow Rd Bldg 334 , Menlo Park CA 94025-2539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Crawford, Shannon David can be contacted via phone (877) 780-5559.

Contact Information

Primary practice address
795 Willow Rd Bldg 334 Menlo Park CA 94025-2539
Phone: (877) 780-5559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD169923 Oregon
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X A78343 California

Profile Details

NPI number 1619996766
LBN Legal business name Crawford, Shannon David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619996766 NPPES
Oregon MEDICAID 500615514

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