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General NPI Number Information
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NPI Number | 1033156682
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Entity Type | Individual
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Provider Name | ROGER SHIFFMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 5 HARRIS CT BLDG T, 2ND FLOOR SUITE 201
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City | MONTEREY
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State | CA
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Zip | 93940-5750
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Country | US
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Telephone | 831-375-4105
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Fax | 831-372-5722
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Provider Business Mailing Address
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Address Line | 5 HARRIS CT BLDG T, 2ND FLOOR SUITE 201
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City | MONTEREY
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State | CA
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Zip | 93940-5750
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Country | US
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Telephone | 831-675-4060
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Fax | 831-655-1277
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | C37008
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License Number State | CA
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