Provider Demographics
NPI:1679552236
Name:SHAPIRO, RONALD (MD, PHD, FACP)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD, PHD, FACP
Other - Prefix:DR
Other - First Name:RONALD
Other - Middle Name:
Other - Last Name:SHAPIRO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD, FACP
Mailing Address - Street 1:PO BOX 8440
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-0440
Mailing Address - Country:US
Mailing Address - Phone:419-841-2138
Mailing Address - Fax:419-841-2138
Practice Address - Street 1:3930 SUNFOREST CT
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4527
Practice Address - Country:US
Practice Address - Phone:419-841-2138
Practice Address - Fax:419-841-2138
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH028311207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSH0139185Medicare PIN
OHA71127Medicare UPIN