NPI 1154589745

Shana Jeanelle Gage, MD

Practitioner Psychiatry Physician Largo, MD

Practice location

Address: 1221 Mercantile Ln, Largo, MD 20774-5374
Phone: (301) 386-6800
Mailing address: 2101 E Jefferson St Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence D0069501 (MD)

Other Psychiatry & Neurology providers in Maryland →

Registry record

NPI: 1154589745
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2008
Record last updated: 14 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.