Individual
RINAH ILENE SHOPNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
39226
SC
207RH0000X
Hematology (Internal Medicine) Physician
803
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019756
—
NV
01
—
01673953
AMERIGROUP
NV
01
—
2395057
CIGNA
NV
01
—
5582319
AETNA
NV
01
—
P01062142
RAILROAD MEDICARE
NV
Enumeration date
10/27/2006
Last updated
04/08/2016
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