Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 4301069354 | MI |
N | 207XS0106X | Orthopaedic Hand Surgeon | 4301069354 | MI |
NPI | 1215919519 |
---|---|
Provider Name | Dr. Paul S Shapiro |
First Address | Southfield, MI 48033-2601 |
Second Address | Southfield, MI 48033-2601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 22/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
076722001 | ADMINISTAR FEDERAL (01) | MI |
0F31114 | BCBS (01) | MI |
0F33583 | BCBS DME (01) | MI |
4233646 | (05) | MI |
G47570 | (02) |