Individual
MINDY SUE SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 571-4000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5798
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5798
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C51272
CA
207RP1001X
Pulmonary Disease Physician
5798
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C512720
—
CA
Enumeration date
10/25/2006
Last updated
03/10/2020
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