Individual
NADA SHAHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3370 PUMP RD, RICHMOND, VA 23233-1130
(804) 260-8061
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008027
VA
363AM0700X
Medical Physician Assistant
3120
OK
Other
Enumeration date
11/21/2019
Last updated
05/30/2023
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