MEDICARE: THOMAS M SHAPIRO 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	208600000X	Surgery Physician	G13974	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275644676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS M SHAPIRO M.D.

Provider Business Mailing Address
First Line	:	7415 TOPAM GLEN CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95120-3511
Country	:	US
Telephone Number	:	408-268-2134
Fax Number	:

Provider Business Practice Location Address
First Line	:	7415 TOPAM GLEN CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95120-3511
Country	:	US
Telephone Number	:	408-268-2134
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/03/2016

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