Provider Demographics
NPI:1790885549
Name:SHADOAN, DANIEL ALBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALBERT
Last Name:SHADOAN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2299 POST ST
Mailing Address - Street 2:STE 308
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3474
Mailing Address - Country:US
Mailing Address - Phone:415-255-5729
Mailing Address - Fax:415-947-7797
Practice Address - Street 1:2299 POST ST
Practice Address - Street 2:STE 308
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3474
Practice Address - Country:US
Practice Address - Phone:415-255-5729
Practice Address - Fax:415-947-7797
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2019-03-04
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Provider Licenses
StateLicense IDTaxonomies
NY00231586204D00000X
CA20A9222204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM