National Provider Identifier Database

SHANE LEE, MD – NPI #1104067651
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.


Contact Information

SHANE LEE, MD
3401 N BROAD ST
PHILADELPHIA, PA19140
Phone: 215-707-7237
Fax: 215-707-9389
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X
Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for SHANE LEE

NPI Number 1104067651
Credentials MD
Entity Individual
Enumeration date 03/12/2009
Last updated 10/09/2025 - About 8 months ago
Sole proprietor1 No
Identifiers
  • NJ License #: 25MA09357700
  • PA License #: 203BR0202X
  • PA License #: MD449493
  • NJ Medicaid: 0383686
  • PA Medicaid: 102844548
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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