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Shannon Sullivan, M. D
NPI 1861515231 · on the registry since 2007
Practice
- Address
- 450 Broadway St
Mail Code 5704
Redwood City, CA 94063 - Phone
- (650) 723-6601
- Organisation at this address
- Stanford University Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 76
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 2080P0214X
2080S0012X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-04-18
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 California