Individual
ELI SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 SAINT PAUL PL, RADIOLOGY DEPT, BALTIMORE, MD 21202-2102
(410) 332-9266
(410) 545-4255
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0057976
MD
2085R0203X
Therapeutic Radiology Physician
D0057976
MD
2085U0001X
Diagnostic Ultrasound Physician
D0057976
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699807100
—
MD
01
—
KDA7 / 617127-01
BC / BS OF MD
MD
01
—
S187 / 0003
BLUECHOICE
MD
Enumeration date
06/06/2006
Last updated
02/14/2024
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