Healthcare Provider Details

I. General information

NPI: 1033181490
Provider Name (Legal Business Name): SHAUNA FRANCES O'SULLIVAN D.O
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-3300
US

IV. Provider business mailing address

7700 ARLINGTON BLVD STE 5134
FALLS CHURCH VA
22042-5113
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4512
  • Fax:
Mailing address:
  • Phone: 703-681-8937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number02002814A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: