DR. SHANNON TUCKER KAHN


Address: 639 Kimberly Ln Ne, Atlanta, GA 30306-2224
Phone: 4046418665

DR. SHANNON TUCKER KAHN (NPI# 1275710899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275710899
Entity Type Individual
Full Name DR. SHANNON TUCKER KAHN
Credential M.D.
Practice Address 639 Kimberly Ln Ne
Atlanta
GA 30306-2224
Practice Telephone 4046418665
Mailing Telephone 4046418665
Enumeration Date 2008-01-25
Last Update Date 2008-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
860908 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA RESIDENT ID NUMBER 860908 01

Office Location

Street Address 639 KIMBERLY LN NE
City ATLANTA
State GA
Zip Code 30306-2224

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1952778565 Kristen Jugs Speech-Language Pathologist 609 Virginia Ave Ne Apt 4108, None, Atlanta, GA 30306 2015-08-31
1962749655 Robert B Tersak Pharmacist 1001 Ponce De Leon Avenue Ne, Atlanta, GA 30306 2013-01-15
1730434812 Poonam Bhakta Hurley Physical Therapist 842 N Highland Ave Ne Ste Ter, Atlanta, GA 30306 2012-07-16
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023301082 Jolinta Lin Radiology The Emory Clinic Dept of Radiation Oncology, 1365 Clifton Road, Ne, Atlanta, GA 30322-0001 2011-05-25
1295924801 Brian Wise Weaver Radiology 1355 Heatherland Dr Sw, Atlanta, GA 30331-7460 2007-10-19
1043367865 David Yu Radiology Emory Department of Radiation Oncology, 1365 Clifton Road, Ne, Atlanta, GA 30322-0001 2007-01-04
1093878787 James H. Whitehurst Radiology 1100 W Peachtree St Nw Ste 100, Atlanta, GA 30309-3609 2006-12-18
1477597656 Bruce Warren Hershatter Radiology Department of Radiation Oncology/emory University, 1320 Clifton Road, Atlanta, GA 30322 2006-06-16
1982658530 Dale Lynn Mccord Radiology 320 Parkway Dr Ne, Atlanta, GA 30312-1213 2006-05-19
1528049087 Radiation Oncology of Atlanta, LLC Radiology 1000 Johnson Ferry Rd, Ne, Northside Radiation Oncology Department, Atlanta, GA 30342-1606 2005-11-10
1487655528 Thomas Wilson Phillips Radiology 20 Glenlake Pkwy, Radiation Oncology, Atlanta, GA 30328 2005-08-10
1568928281 Roma, LLC Radiology 1110 W Peachtree St Nw Ste 100, Atlanta, GA 30309-3609 2019-02-19
1689053100 Eddie Zhang Radiology 5665 Peachtree Dunwoody Rd, Esjh Dept of Radiation Oncology, Atlanta, GA 30342-1701 2015-05-29
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Competitor

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City ATLANTA
Zip Code 30306

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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