Basic Information
Provider Information
NPI: 1619166139
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHAPIRO
FirstName: ANNE
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 WEST ARBOR DR-MC 0801
Address2: UCSD MEDICAL CENTER- DEPT OF ANESTHESIA
City: SAN DIEGO
State: CA
PostalCode: 921030801
CountryCode: US
TelephoneNumber: 6195435720
FaxNumber:  
Practice Location
Address1: 200 WEST ARBOR DR- MC 0801
Address2: UCSD MEDICAL CENTER- DEPT OF ANESTHESIA
City: SAN DIEGO
State: CA
PostalCode: 921030801
CountryCode: US
TelephoneNumber: 6195435720
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/21/2007
LastUpdateDate: 06/21/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X20A11141CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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