Individual
ROGER SHIFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 HARRIS CT, BLDG T, 2ND FLOOR SUITE 201, MONTEREY, CA 93940-5750
(831) 375-4105
(831) 372-5722
Mailing address
5 HARRIS CT, BLDG T, 2ND FLOOR SUITE 201, MONTEREY, CA 93940-5750
(831) 675-4060
(831) 655-1277
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C37008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C370080
BCBS
—
01
—
GR0080140
MEDICAID GROUP
CA
01
—
ZZZ13460Z
MEDICARE GROUP #
—
Enumeration date
06/01/2006
Last updated
01/15/2014
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