Individual
DR. NATHAN R SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8525 ROLLING RD, SUITE 222, MANASSAS, VA 20110-3647
(703) 334-0720
(703) 334-0750
Mailing address
8525 ROLLING RD, SUITE 222, MANASSAS, VA 20110-3647
(703) 334-0720
(703) 334-0750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101244821
VA
207R00000X
Internal Medicine Physician
148475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084086
GHI
NY
01
—
112492182
PROVIDER ID#
NY
01
—
KP545
OXFORD
NY
Enumeration date
07/12/2005
Last updated
05/11/2010
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