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1235111204

NPI Code Detail

MEDICARE: DR. JEFFREY D SHAPIRO MD

MEDICARE: DR. JEFFREY D SHAPIRO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	4301057802	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	076722001	OTHER	MI	ADMINISTAR FEDERAL
2	0F31114	OTHER	MI	BCBS
3	0F33583	OTHER	MI	BCBS DME
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235111204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY D SHAPIRO MD

Provider Business Mailing Address
First Line	:	26211 CENTRAL PARK BLVD STE 201
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-4158
Country	:	US
Telephone Number	:	248-845-4381
Fax Number	:

Provider Business Practice Location Address
First Line	:	26025 LAHSER RD
Second Line	:	2ND FLOOR
City	:	SOUTHFIELD
State	:	MI
Zip	:	48033-2601
Country	:	US
Telephone Number	:	248-663-1900
Fax Number	:	248-663-1902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	04/07/2026

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Directions to “ DR. JEFFREY D SHAPIRO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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