Individual
DR. MITCHELL L SHIFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12720 MCMANUS BLVD, SUITE 313, NEWPORT NEWS, VA 23602-4414
(757) 947-3190
(757) 947-3195
Mailing address
12720 MCMANUS BLVD, SUITE 313, NEWPORT NEWS, VA 23602-4414
(757) 947-3190
(757) 947-3195
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101036976
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006000924
—
VA
01
—
C06778
MEDICARE GROUP PIN
VA
Enumeration date
09/28/2006
Last updated
05/21/2013
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