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

Shannon Hogan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922620442

Shannon Hogan, MD is a Student in an Organized Health Care Education/Training Program in Malden, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020
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

195 Canal St
Malden, MA 02148-6701
Phone: (781) 338-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 285094 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922620442
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2020
Last updated in NPPESDecember 5, 2020
Certification dateDecember 5, 2020
Mailing address195 Canal St, Malden, MA 02148-6701

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