| Dr Mary Kelly Shanahan, MD | |
|
1154 Emerald Bay Rd, South Lake Tahoe, CA 96150-6288 | |
| (530) 542-4961 | |
| (530) 542-4964 |
| Full Name | Dr Mary Kelly Shanahan |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1154 Emerald Bay Rd, South Lake Tahoe, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588661359 | NPI | - | NPPES |
| 1588661359 | Medicaid | CA | |
| 1588661359 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | G78582 (California) | Primary |
| 207V00000X | Obstetrics & Gynecology | 7055 (Nevada) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Kelly Shanahan, MD 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150-6288 Ph: (530) 542-4961 | Dr Mary Kelly Shanahan, MD 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150-6288 Ph: (530) 542-4961 |
Megan F Jewell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2175 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5711 Fax: 530-544-2503 | |
Dr. Amanda Stevens Weavil, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2175 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5711 Fax: 530-544-2503 | |
Dr. Matthew Joseph Barulich Iii, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 775-882-8487 Fax: 775-882-8487 | |
Dr. Clare Elizabeth Rudolph, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2175 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5711 Fax: 530-544-2503 |