MEDICARE: ROGER SHIFFMAN M.D.

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	207RH0003X	Hematology & Oncology Physician	C37008	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	ZZZ13460Z	OTHER		MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00C370080	OTHER		BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033156682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROGER SHIFFMAN M.D.

Provider Business Mailing Address
First Line	:	5 HARRIS CT
Second Line	:	BLDG T, 2ND FLOOR SUITE 201
City	:	MONTEREY
State	:	CA
Zip	:	93940-5750
Country	:	US
Telephone Number	:	831-675-4060
Fax Number	:	831-655-1277

Provider Business Practice Location Address
First Line	:	5 HARRIS CT
Second Line	:	BLDG T, 2ND FLOOR SUITE 201
City	:	MONTEREY
State	:	CA
Zip	:	93940-5750
Country	:	US
Telephone Number	:	831-375-4105
Fax Number	:	831-372-5722

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	01/15/2014

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Directions to “ ROGER SHIFFMAN M.D.” Practice Location

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