Individual
DR. KIRITKUMAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CONSTITUTION DR, STE. 217, VIRGINIA BEACH, VA 23462-6799
(757) 499-7442
(757) 490-3638
Mailing address
100 CONSTITUTION DR, STE. 217, VIRGINIA BEACH, VA 23462-6799
(757) 499-7442
(757) 490-3638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101027518
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18852
OPTIMA, FAMILY CARE,FAMIS
VA
01
—
271865
MAMSI,OPTI CHOICE,MDIPA
VA
01
—
452095
ANTHM BCBS,HK, HK,FAMIS
VA
01
—
5417787860282E
CIGNA
VA
05
—
6730591
—
VA
01
—
67547259
TRICARE,HUMANA,CHAMPVA
VA
Enumeration date
06/29/2006
Last updated
07/21/2022
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