# DR. MARK L SHAPIRO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164405270
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 2006-01252 | NC | — |
| 208600000X | Surgery Physician | 219511 | MA | — |
| 208600000X | Surgery Physician | MC-0787 | ID | — |
| 208600000X | Surgery Physician | MD23567 | ME | — |
| 2086S0102X | Surgical Critical Care Physician | MD61612669 | WA | — |
| 2086S0127X | Trauma Surgery Physician | EMC0000656 | MI | Yes |
| 2086S0127X | Trauma Surgery Physician | V4068 | TX | — |

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 05/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1431R | BCBS | NC |
| 05 | — | 2021536 | — | MA |