Provider Demographics
NPI:1457591471
Name:HICKS, SHAWN DOUGLAS (MD, MSC)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:DOUGLAS
Last Name:HICKS
Suffix:
Gender:M
Credentials:MD, MSC
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Mailing Address - Street 1:123 ECHO DR
Mailing Address - Street 2:UNIT 207
Mailing Address - City:OTTAWA
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:K1S 1M9
Mailing Address - Country:CA
Mailing Address - Phone:613-233-9280
Mailing Address - Fax:
Practice Address - Street 1:3550 TERRACE ST
Practice Address - Street 2:655 SCAIF HALL
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2500
Practice Address - Country:US
Practice Address - Phone:412-647-6249
Practice Address - Fax:412-578-9340
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT194194207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine