Individual
MASAFUMI SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ASHLEY RIVER TOWER, 25 COURTENAY DR,, CHARLESTON, SC 29401
(843) 792-2300
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MDO.95508LL
SC
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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