Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE LEE, MD
ActiveSHANE LEE, MD is a Therapeutic Radiology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1104067651 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1104067651
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2009 (17.448921058034 yrs)
- Last Updated
- Oct 9, 2025
- Licenses
-
MD449493 (PA)203BR0202X (PA)25MA09357700 (NJ)
Practice Information
- Address
-
3401 N BROAD STPHILADELPHIA, PA, 19140Browse PA providers · Browse ZIP 19140
- Phone
- 2157077237
- Fax
- 2157079389
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Therapeutic Radiology
Other Therapeutic Radiology Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| GARY S COHEN | MD | 1891784559 |
| MARK HYSELL | DO | 1174513105 |
| TODD MAKLER | MD | 1205826898 |
| RICHARD J GRAY | MD | 1407846090 |
| PAUL CHASE | — | 1275517427 |
| AARON OPHER SHILOH | M.D. | 1003886896 |
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.