Provider Demographics
NPI:1023144706
Name:SHAFER, STEVEN LOUIS (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:LOUIS
Last Name:SHAFER
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 1:851 INDIANA ST
Mailing Address - Street 2:UNIT 504
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-3588
Mailing Address - Country:US
Mailing Address - Phone:650-704-0558
Mailing Address - Fax:650-887-2203
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-4000
Practice Address - Fax:650-887-2203
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG56986207L00000X
NY246438207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology