# DR. STEPHANIE SHINN GAYDOS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1831451772
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | LL34752 | SC | — |
| 207RA0002X | Adult Congenital Heart Disease Physician | 34752 | SC | Yes |
| 208000000X | Pediatrics Physician | LL34752 | SC | — |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 08/18/2021