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

Michael Dixon Shane, MD

Individual provider Body Imaging Physician · NPI 1154401990

Michael Dixon Shane, MD is a Body Imaging Physician in Santa Rosa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
4
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

121 Sotoyome St
Santa Rosa, CA 95405-4823
Phone: (707) 546-4062
Fax: (707) 578-6258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence C30136 (CA)
Body Imaging Physician Taxonomy 2085B0100X · Licence C30136 (CA)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence C30136 (CA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence C30136 (CA)

Record details

NPI number1154401990
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 7, 2009

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