Individual
RIA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 PIDGEON HILL DRIVE, SUITE 400, STERLING, VA 20165-6129
(703) 430-7090
(703) 444-9878
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0110009576
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018379150001
—
VA
Enumeration date
09/08/2023
Last updated
10/16/2025
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