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NPI Code Detail

MEDICARE: ELIZABETH SHANIKA ESPARAZ MD

MEDICARE: ELIZABETH SHANIKA ESPARAZ MD
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
1207WX0107XRetina Specialist (Ophthalmology) Physician35133065OH
2207W00000XOphthalmology PhysicianMD493307PA
3207W00000XOphthalmology Physician35133065OH

General Provider Information

NPI Number : 1053654004
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SHANIKA ESPARAZ MD
Provider Business Mailing Address
First Line : 2005 BAY ST STE 206
Second Line :
City : TAUNTON
State : MA
Zip : 02780-1085
Country : US
Telephone Number : 508-823-7473
Fax Number : 508-824-3830
Provider Business Practice Location Address
First Line : 2013 STATE ROUTE 59
Second Line :
City : KENT
State : OH
Zip : 44240-4113
Country : US
Telephone Number : 330-678-0201
Fax Number : 330-678-4272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2013
Last Update Date : 03/09/2026

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Directions to “ ELIZABETH SHANIKA ESPARAZ MD” Practice Location

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