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Contact Information

MASAFUMI SHIBATA
ASHLEY RIVER TOWER, 25 COURTENAY DR,
CHARLESTON, SC29401
 Phone: 843-792-2300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MASAFUMI SHIBATA · (Male)

NPI # 1053253724
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2026
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • SC License # MDO.95508LL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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