DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IAN M SHANTZ, MD

Active

DR. IAN M SHANTZ, MD is a Family Medicine healthcare provider located in GAMBRILLS, Maryland. NPI 1083607410 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GAMBRILLS, MD

Registration Details

NPI Number
1083607410
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2005 (20.909755425302 yrs)
Last Updated
Nov 29, 2013
License
D0036203 (MD)

Practice Information

Address
2401 BRANDERMILL BLVD
SUITE 250
GAMBRILLS, MD, 210541690
Browse MD providers · Browse ZIP 21054
Phone
4107211507
Fax
4107211510
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GAMBRILLS, MD

Name Credential NPI
DR. DAVID CONRAD ANDERSON M.D. 1508866336
DR. DAVID G FREAS MD 1497748800
TARA THURLBY MUSCOVICH MD 1619924263
PETER SU MD 1184664146
HOWARD KENNETH SCHULTZ JR. MD 1164450920
KIMBERLY SHANNON WALLACE MD 1770627705
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.