Provider Demographics
NPI:1962428979
Name:SHIKANI, ALAN HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:HENRY
Last Name:SHIKANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 N CALVERT ST STE 360
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2867
Mailing Address - Country:US
Mailing Address - Phone:443-552-2653
Mailing Address - Fax:410-554-2171
Practice Address - Street 1:3333 N CALVERT ST BLDG SUITE631
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2867
Practice Address - Country:US
Practice Address - Phone:443-552-2653
Practice Address - Fax:410-554-2171
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD35559207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD522047995OtherUNITED HEALTHCARE
MD563200500Medicaid
MD67262OtherMDIPA/OPTIMUM CHOICE
MD0004233654OtherAETNA
MD1351840OtherCIGNA
MD0004233654OtherAETNA
MD080MMedicare ID - Type Unspecified