Provider Demographics
NPI:1407824246
Name:SHAPIRO, MICHAEL SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SETH
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5215 E FANFOL DR
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1623
Mailing Address - Country:US
Mailing Address - Phone:480-657-3400
Mailing Address - Fax:480-657-3550
Practice Address - Street 1:10181 N 92ND ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4559
Practice Address - Country:US
Practice Address - Phone:480-657-3400
Practice Address - Fax:480-657-3550
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19391174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZC21671Medicare UPIN