Provider Demographics
NPI:1437237898
Name:SHIELDS, ANDREW THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:THOMAS
Last Name:SHIELDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16243 25TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-2611
Mailing Address - Country:US
Mailing Address - Phone:206-963-5339
Mailing Address - Fax:253-288-2203
Practice Address - Street 1:202 N DIVISION ST
Practice Address - Street 2:PLAZA ONE
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-4939
Practice Address - Country:US
Practice Address - Phone:206-963-5339
Practice Address - Fax:253-288-2203
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2014-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00024085207UN0901X, 207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology