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Individual

DEVANG M SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5801 BREMO RD, ANESTHESIOLOGY OF VIRGINIA, PC, RICHMOND, VA 23226-1907
(973) 660-9334
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101245046
VA
207L00000X
Anesthesiology Physician
35087110
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2629150
OH
Enumeration date
04/19/2006
Last updated
02/16/2016
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