Provider Demographics
NPI:1376530907
Name:SHAPIRO, EVE C (MD)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:C
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6060 N FOUNTAIN PLAZA DR
Mailing Address - Street 2:200
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-7870
Mailing Address - Country:US
Mailing Address - Phone:520-797-3888
Mailing Address - Fax:520-797-2196
Practice Address - Street 1:6060 N FOUNTAIN PLAZA DR
Practice Address - Street 2:200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7870
Practice Address - Country:US
Practice Address - Phone:520-797-3888
Practice Address - Fax:520-797-2196
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ16093208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ2604142Medicaid
AZE77214Medicare UPIN