Shannon Brandy Putman
Emergency Physician
600 N Wolfe St
Baltimore
, Maryland 21287-0005
Shannon Brandy Putman
Emergency Physician
600 N Wolfe St
Baltimore
, Maryland 21287-0005
(301) 631-8117
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Shannon Brandy Putman
- Po Box 64362
- Baltimore, MD
- Zip : 21264-4362
- Phone : (301) 631-8117
Second Address
- Shannon Brandy Putman
- 600 N Wolfe St
- Baltimore, MD
- Zip : 21287-0005
- Phone : (410) 955-2280
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | D54664 | MD |
National Provider Identifier
| NPI | 1003859430 |
|---|---|
| Provider Name | Shannon Brandy Putman |
| First Address | Baltimore, MD 21264-4362 |
| Second Address | Baltimore, MD 21287-0005 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G94383 | (02) | MH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.