Individual
MINU SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001959
VA
152WP0200X
Pediatric Optometrist
0618001959
VA
152WV0400X
Vision Therapy Optometrist
0618001959
VA
Other
Enumeration date
07/03/2010
Last updated
07/03/2010
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