Provider Demographics
NPI:1306889829
Name:SHAPIRO, PETER EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:EDWARD
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12521 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3135
Mailing Address - Country:US
Mailing Address - Phone:913-327-7363
Mailing Address - Fax:
Practice Address - Street 1:6675 HOLMES RD
Practice Address - Street 2:SUITE 410
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1150
Practice Address - Country:US
Practice Address - Phone:816-361-2300
Practice Address - Fax:816-361-2392
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR9H34207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOBS1480338OtherBLUE CROSS BLUE SHIELD
MOBS1480338OtherBLUE CROSS BLUE SHIELD
MOF26365Medicare UPIN