Individual
DR. STEVEN GEORGE SHIMOTAKAHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD18345
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040011398
RR MEDICARE PTAN NUMBER
OR
05
—
055801
—
OR
01
—
1407812365
NBMC GROUP NPI NUMBER
OR
01
—
CD8723
RR MEDICARE GROUP PIN
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
12/16/2005
Last updated
03/23/2010
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