Individual
ELI E SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101008012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310E011330
BCBS GROUP#
MI
01
—
3155011944
BCBS INDIVIDUAL #
MI
05
—
3524756
—
MI
Enumeration date
07/05/2006
Last updated
07/09/2007
Update your record
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