Provider Demographics
NPI:1609845866
Name:BIGGERS, SHAUN DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:DENISE
Last Name:BIGGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4332
Mailing Address - Country:US
Mailing Address - Phone:646-962-2110
Mailing Address - Fax:646-962-0160
Practice Address - Street 1:2315 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4332
Practice Address - Country:US
Practice Address - Phone:646-962-2110
Practice Address - Fax:646-962-0160
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT044059207V00000X, 207VG0400X
NY191908207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G17164Medicare UPIN