Individual
ADIT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 853-2518
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0102206790
VA
207P00000X
Emergency Medicine Physician
0102206790
VA
208D00000X
General Practice Physician
Primary
0102206790
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2020
Last updated
07/15/2024
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