Individual
ROBERT W. SHAW III
Active
Individual
ROBERT W. SHAW III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20242
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050956
ANTHEM
KY
01
—
000023028F
HUMANA
KY
01
—
008909
SIHO
KY
05
—
100360800
—
IN
01
—
1054774
PASSPORT
KY
01
—
10806119
CAQH
KY
01
—
110139027
RAILROAD MEDICARE
KY
01
—
2433724000
PASSPORT ADVANTAGE
KY
01
—
2538067
CIGNA
KY
05
—
64202427
—
KY
Enumeration date
04/18/2006
Last updated
07/14/2016
Update your record
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