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NPI Code Detail

MEDICARE: DR. GARY L SHAPIRA MD

MEDICARE:  DR. GARY L SHAPIRA  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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician4301069267MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1340H275000OTHERMIBLUE CROSS OF MICHIGAN
2382032989OTHERMICOMMERCIAL

General Provider Information

NPI Number : 1366426876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY L SHAPIRA MD
Provider Business Mailing Address
First Line : 5700 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1509
Country : US
Telephone Number : 800-687-1861
Fax Number :
Provider Business Practice Location Address
First Line : 7733 E JEFFERSON AVE
Second Line :
City : DETROIT
State : MI
Zip : 48214-3707
Country : US
Telephone Number : 313-499-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 10/31/2013

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Directions to “ DR. GARY L SHAPIRA MD” Practice Location

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