Physician Compare National (NPI:1497794200)

HEALTHCARE PROVIDER: BONNIE SHANIS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1497794200
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002096948
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110209000472
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHANIS
	Individual professional last name
Provider First Name	BONNIE
	Individual professional first name
Provider Middle Name	S.
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1 CONRAD PLACE
	Group Practice or individual's line 1 address
City	AMBLER
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190024008
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2155425899
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y