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Contact Information

CHRISTOPHER W SHANAHAN, M.D., M.P.H.
1575 BLUE HILL AVE
MATTAPAN, MA02126-2122
 Phone: 617-829-6006
 Fax: 617-296-5408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for CHRISTOPHER W SHANAHAN · (Male)

NPI # 1730184854
Status Active
Credentials M.D., M.P.H.
Entity Individual
Enumeration date 06/15/2005
Last updated 02/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 74099
  • MA Medicaid 110050376A
Hospital affiliation(s)
  • BOSTON MEDICAL CENTER CORPORATION - (Acute Care)
    1 BOSTON MEDICAL CENTER PLACE
    BOSTON, MA 02118
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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