Organization
SHAHAB M. EHTESHAM MD PLLC
Active
Organization
SHAHAB M. EHTESHAM MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHAB M. EHTESHAM M.D. (PHYSICIAN)
(276) 679-4200
Entity
Organization
Contact information
Practice address
611 TRENT ST NE, NORTON, VA 24273-1533
(276) 679-4200
(276) 679-4230
Mailing address
PO BOX 386, WISE, VA 24293-0386
(276) 679-4200
(276) 679-4230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101225223
VA
Other
Enumeration date
11/07/2007
Last updated
02/01/2010
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