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Organization
VASCULAR INSTITUTE OF VIRGINIA LLC
Active
Organization
VASCULAR INSTITUTE OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANISH P SHAH M.D., F.A.S.N. (PRESIDENT)
(215) 828-2387
Entity
Organization
Contact information
Practice address
14085 CROWN CT, WOODBRIDGE, VA 22193-1458
(703) 763-5224
(703) 763-5374
Mailing address
14085 CROWN CT, WOODBRIDGE, VA 22193-1458
(703) 763-5224
(703) 763-5374
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942509989
—
VA
05
—
312008200
—
MD
Enumeration date
03/16/2011
Last updated
01/07/2015
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