Provider Demographics
NPI:1376583013
Name:SHRAWNY, SHAWN S (MD)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:S
Last Name:SHRAWNY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1221 NICOLLET AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2420
Mailing Address - Country:US
Mailing Address - Phone:612-573-2232
Mailing Address - Fax:612-573-2274
Practice Address - Street 1:1221 NICOLLET AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-2420
Practice Address - Country:US
Practice Address - Phone:612-573-2232
Practice Address - Fax:612-573-2274
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2008-07-02
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Provider Licenses
StateLicense IDTaxonomies
MN440912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN151624OtherUCARE
MN310P5SHOtherBLUE CROSS
MN254990OtherMIDLANDS CHOICE INC
IA15466655Medicaid
MNHP38434OtherHEALTHPARTNERS
MN1603921OtherMEDICA
MN931477600Medicaid
MN1340368OtherAMERICA'S PPO
MN309P5SHOtherBLUE CROSS
WI34116700Medicaid
MN9228356OtherDAKOTA CARE
WIP00349005OtherRAILROAD MEDICARE WI
MN1028018OtherPREFERRED ONE
MNP00286596OtherRAILROAD MEDICARE MN
MN940000089Medicare PIN
IA15466655Medicaid
MN254990OtherMIDLANDS CHOICE INC
WI004856135Medicare PIN
MN1340368OtherAMERICA'S PPO
WI005704070Medicare PIN