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NPI Code Detail

MEDICARE: DR. SEAN DIEN SHANAHAN DPM

MEDICARE: DR. SEAN DIEN SHANAHAN DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristPO3134FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487642617
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN DIEN SHANAHAN DPM
Provider Business Mailing Address
First Line : 300 RIVERSIDE DR E STE 2000
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1023
Country : US
Telephone Number : 941-666-5088
Fax Number : 239-209-9686
Provider Business Practice Location Address
First Line : 300 RIVERSIDE DR E STE 2000
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1023
Country : US
Telephone Number : 941-666-5088
Fax Number : 239-209-9686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 09/02/2025

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Directions to “ DR. SEAN DIEN SHANAHAN DPM” Practice Location

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