Individual
DIPAM SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD DEPT OF MEDICINE, FALLS CHURCH, VA 22042-3307
(703) 776-3582
Mailing address
3300 GALLOWS RD DEPT OF MEDICINE, FALLS CHURCH, VA 22042-3307
(703) 776-3582
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116035823
VA
Other
Enumeration date
06/30/2021
Last updated
09/11/2025
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