National Provider Identifier

Shannon Ryan Oram Moran, MD

Shannon Ryan Oram Moran, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 323-0631.

NPI 1174265649Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1174265649
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 13, 2022
Last Updated
July 23, 2023

Practice Location

  • 1001 Main St Fl 5
  • Buffalo, NY 14203-1009

Phone: (716) 323-0631

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1174265649
Entity Type
Individual
Last Name
Moran
First Name
Shannon
Middle Name
Ryan Oram
Credential
MD
Provider Other Last Name
Oram
Provider Other First Name
Shannon
Provider Other Middle Name
Ryan
Provider Other Credential Text
MD
Provider Other Last Name Type Code
1
Mailing Street Address
1001 Main St Fl 5
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1009
Mailing Country
US
Mailing Phone
(716) 323-0631
Practice Street Address
1001 Main St Fl 5
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1009
Practice Country
US
Practice Phone
(716) 323-0631
Enumeration Date
April 13, 2022
Last Updated
July 23, 2023
Sex
Female
Sole Proprietor
No
Certification Date
July 23, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)