Provider Demographics
NPI:1811359730
Name:SHAPIRO EGER, MAREN (MD)
Entity type:Individual
Prefix:
First Name:MAREN
Middle Name:
Last Name:SHAPIRO EGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MAREN
Other - Middle Name:ALISSA
Other - Last Name:SHAPIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:499 ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2518
Mailing Address - Country:US
Mailing Address - Phone:415-353-3071
Mailing Address - Fax:
Practice Address - Street 1:499 ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2518
Practice Address - Country:US
Practice Address - Phone:415-353-3071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA168693207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology