Individual
DR. MUKESH HARILAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL DR, SUITE A & B, HAMPTON, VA 23666-1763
(757) 788-0200
(757) 788-0950
Mailing address
300 MEDICAL DR, 2ND FLOOR, HAMPTON, VA 23666-1765
(757) 788-0092
(757) 788-0969
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101036727
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659424448
—
VA
01
—
260020529
MEDICARE RR
VA
Enumeration date
08/17/2006
Last updated
09/12/2018
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