Shane Carrillo, M.D

NPI 1114453511 · on the registry since 2017

Practice

Address: 107 S. 5th St.
Richmond, VA 23219
Phone: (804) 828-7912
Organisation at this address: Mao Pharmacy, Inc.
Genoa Healthcare Llc
The Daily Planet Inc
Richmond Behavioral Health Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 201

Registry record

Primary taxonomy: Psychiatry
2084P0800X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia