National Provider Identifier Database

SHANNON SULLIVAN, MD – NPI #1861515231
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

SHANNON SULLIVAN, MD
450 BROADWAY ST
MAIL CODE 5704
REDWOOD CITY, CA94063-3132
Phone: 650-723-6601
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Pediatric Pulmonology 2080P0214X
Sleep Medicine 2080S0012X

* Indicates primary specialty

NPI Profile & details for SHANNON SULLIVAN

NPI Number 1861515231
Credentials MD
Entity Individual
Enumeration date 04/09/2007
Last updated 04/18/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A81983
  • CA Other: A81983 CA MEDICAL LICENSE
Hospital affiliation n/a

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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