Shannon Petukhov, MD

EMERGENCY MEDICINE

1701 Twin Springs Rd

Halethorpe, MD 212273553

(410) 737-5000

**NPI:** 1427402627

**Med School:** UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE

**Experience:** 10 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

1701 Twin Springs Rd
Halethorpe, MD 212273553

Phone: (410) 737-5000

**Group ID:** 3779495858 | **Group Size:** 1793 members

LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC Type: Hospital
2001 MEDICAL PARKWAY
Phone: (443) 481-1000
Medicare CCN: 210023 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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