Provider Demographics
NPI:1689295388
Name:DALANGIN, SHAWN ROBERT (RT(R)(VI))
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:ROBERT
Last Name:DALANGIN
Suffix:
Gender:M
Credentials:RT(R)(VI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 BROADWAY BLVD APT 202
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2730
Mailing Address - Country:US
Mailing Address - Phone:816-888-1441
Mailing Address - Fax:
Practice Address - Street 1:4000 CAMBRIDGE ST FL 2
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8501
Practice Address - Country:US
Practice Address - Phone:913-588-6875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0106XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular-Interventional Technology
No2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography