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NPI Code Detail

MEDICARE: DR. STEVEN SHIBA MD, MS

MEDICARE:  DR. STEVEN  SHIBA  MD, MS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1215630439
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN SHIBA MD, MS
Provider Business Mailing Address
First Line : 169 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-8905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 169 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-8905
Country : US
Telephone Number : 843-792-2575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2023
Last Update Date : 04/27/2026

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Directions to “ DR. STEVEN SHIBA MD, MS” Practice Location

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