Healthcare Provider Details

I. General information

NPI: 1811359045
Provider Name (Legal Business Name): HANNAH SHAPIRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH JOHNSON MD

II. Dates (important events)

Enumeration Date: 03/26/2016
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST FL 6
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

1825 4TH ST FL 6
SAN FRANCISCO CA
94143-2350
US

V. Phone/Fax

Practice location:
  • Phone: 855-722-8273
  • Fax: 415-353-2400
Mailing address:
  • Phone: 855-722-8273
  • Fax: 415-353-2400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number287278
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: