Provider Demographics
NPI:1821088022
Name:SHAPIRO, MATTHEW P (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:P
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:401 COMMERCE RD
Mailing Address - Street 2:413
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-4433
Mailing Address - Country:US
Mailing Address - Phone:540-886-0988
Mailing Address - Fax:540-886-3833
Practice Address - Street 1:401 COMMERCE RD
Practice Address - Street 2:413
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-4433
Practice Address - Country:US
Practice Address - Phone:540-886-0988
Practice Address - Fax:540-886-3833
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2010-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01012345552085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAJ04864Medicare UPIN