Provider Demographics
NPI:1518150473
Name:SHAPIRO, RICHARD ALAN (MD)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ALAN
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:855 FOLSOM ST
Mailing Address - Street 2:APT. 907
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1174
Mailing Address - Country:US
Mailing Address - Phone:650-520-9209
Mailing Address - Fax:
Practice Address - Street 1:830 MENLO AVE
Practice Address - Street 2:STE. 200
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4751
Practice Address - Country:US
Practice Address - Phone:650-520-9209
Practice Address - Fax:415-474-0393
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG859922084P0800X
AZ246602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry