Provider Demographics
NPI:1316004518
Name:SHAPIRO, BOB F (MD)
Entity Type:Individual
Prefix:DR
First Name:BOB
Middle Name:F
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:F
Other - Last Name:SHAPIRO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:107 SCRIPPS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6300
Mailing Address - Country:US
Mailing Address - Phone:916-922-7021
Mailing Address - Fax:916-922-3050
Practice Address - Street 1:107 SCRIPPS DR STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6300
Practice Address - Country:US
Practice Address - Phone:916-922-7021
Practice Address - Fax:916-922-3050
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20224207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00G202240Medicare PIN
A41232Medicare UPIN