Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Kelly Shanahan, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1588661359

Dr. Mary Kelly Shanahan, MD is an Obstetrics & Gynecology Physician in South Lake Tahoe, California. Practices as a sole proprietor. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1154 Emerald Bay Rd
South Lake Tahoe, CA 96150-6288
Phone: (530) 542-4961
Fax: (530) 542-4964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence G78582 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 7055 (NV)

Record details

NPI number1588661359
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2005
Last updated in NPPESApril 3, 2015

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