MEDICARE: ARNOLD G. SHAPIRO MD, PLLC

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	2084P0800X	Psychiatry Physician	22192	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881000545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARNOLD G. SHAPIRO MD, PLLC

Provider Business Mailing Address
First Line	:	1717 DIXIE HWY
Second Line	:	SUITE 200
City	:	FT WRIGHT
State	:	KY
Zip	:	41011-2766
Country	:	US
Telephone Number	:	859-341-7453
Fax Number	:	859-344-3183

Provider Business Practice Location Address
First Line	:	1717 DIXIE HWY
Second Line	:	SUITE 200
City	:	FT WRIGHT
State	:	KY
Zip	:	41011-2766
Country	:	US
Telephone Number	:	859-341-7453
Fax Number	:	859-344-3183

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ARNOLD G. SHAPIRO
Credential	:	M.D.
Telephone Number	:	859-341-7453

Provider Enumeration Date	:	07/02/2014
Last Update Date	:	07/02/2014

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