Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 14151 | SC |
NPI | 1447246673 |
---|---|
Provider Name | Dr. Steven Dennis Shapiro |
First Address | Charleston, SC 29407-8702 |
Second Address | Charleston, SC 29407-8702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2005 |
Last Update Date | 04/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D17573 | (02) | SC |
MC0035 | (05) | SC |