Provider Demographics
NPI:1447246673
Name:SHAPIRO, STEVEN DENNIS (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DENNIS
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1483 TOBIAS GADSON BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-8702
Mailing Address - Country:US
Mailing Address - Phone:843-766-2500
Mailing Address - Fax:843-766-2315
Practice Address - Street 1:1483 TOBIAS GADSON BLVD
Practice Address - Street 2:STE 102
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-8702
Practice Address - Country:US
Practice Address - Phone:843-766-2500
Practice Address - Fax:843-766-2315
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-22
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14151207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCMC0035Medicaid
SCD17573Medicare UPIN