Healthcare Provider Details

I. General information

NPI: 1275503419
Provider Name (Legal Business Name): ALAN ISAIAH SHAPIRO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 JOHN PAUL JONES CIR DEPARTMENT OB/GYN
PORTSMOUTH VA
23708-2111
US

IV. Provider business mailing address

5309 STEWART CT
VIRGINIA BEACH VA
23464-7830
US

V. Phone/Fax

Practice location:
  • Phone: 757-953-4350
  • Fax: 757-953-1007
Mailing address:
  • Phone: 757-479-3558
  • Fax: 757-953-1007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberGFE48512
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number10129
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: