Shannon Petukhov, MD
Shannon Petukhov, MD practises Emergency Medicine in Annapolis, Maryland. Graduated from University of Maryland School of Medicine in 2015, 11 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 11
- Trained at
- University of Maryland School of Medicine
- Licensed in
- MD
- In the registry since
- 2016
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2001 Medical PkwyAnnapolis, MD 21401-3773
Phone: (443) 481-1366
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence D0087812 (MD) |
|---|
Record details
| NPI number | 1427402627 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2016 |
| Last updated in NPPES | February 6, 2020 |
| Certification date | February 6, 2020 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 357 |
|---|---|
| Services billed | 381 |
| Average patient age | 77 |
Practises at
- Luminis Health Anne Arundel Medical Center, Inc Hospital · Annapolis, MD
Colleagues at Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Dr. Mir I Ali, MBBS Internal Medicine Physician · Rockville, MD
- Adamu Demeke Ayene, MD Hospitalist Physician · Takoma Park, MD
- Dr. Rashad Jarreau Dupree-Harris, MD Internal Medicine Physician · Washington, DC
- Dr. Evelyn W Gathecha, MD Student in an Organized Health Care Education/Training Program · Baltimore, MD
- Dr. Deepali Kothary, MD Obstetrics & Gynecology Physician · Burke, VA
- Dr. Zung Quang Le, DPM Podiatrist · Washington, DC
- Dr. Jane Lee, MD Emergency Medical Services (Emergency Medicine) Physician · Arlington, VA
- Megan C Lilli, DNP, CRNP, FNP-BC Family Nurse Practitioner · Baltimore, MD
- Sheela Raghuram, MD Hospitalist Physician · Reston, VA
- Ghazaleh Rahbari, MD Internal Medicine Physician · Cheverly, MD
- Rodica Retezar, MD Emergency Medicine Physician · Baltimore, MD
- Dr. Jonathan Asher Treem, MD Hospice and Palliative Medicine (Internal Medicine) Physician · Aurora, CO
Other providers in Annapolis
-
John C Moghtader, MD
2001 Medical Pkwy, Annapolis, MD 21401-3280 · (443) 481-1366
-
Mica Newman, FNP-C
2001 Medical Pkwy, Annapolis, MD 21401-3773 · (443) 481-1000
-
Joseph Alfred Odierno, DO
2001 Medical Pkwy, Annapolis, MD 21401-3773 · (443) 481-1000
-
Daniel Burns Paluchowski, MD
2001 Medical Pkwy, Annapolis, MD 21401-3773 · (301) 509-8452
-
Dr. James Peter Prevas, MD
2001 Medical Pkwy, Annapolis, MD 21401-3280 · (443) 481-1366
-
Charles M Remoll Jr., MD
2001 Medical Pkwy, Annapolis, MD 21401-3280 · (443) 481-1366
-
Musidapa Rouzi
2001 Medical Pkwy, Annapolis, MD 21401 · (443) 481-1000
-
Dr. Richard Hill Schreckengaust, MD
695 Kinkaid Rd, Annapolis, MD 21402-1006 · (410) 293-2273