Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 39226 | SC |
N | 207RH0000X | Hematologist | 803 | NV |
NPI | 1215012018 |
---|---|
Provider Name | Rinah Ilene Shopnick |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002019756 | (05) | NV |
01673953 | AMERIGROUP (01) | NV |
2395057 | CIGNA (01) | NV |
5582319 | AETNA (01) | NV |
E76510 | (02) | NV |
P01062142 | RAILROAD MEDICARE (01) | NV |