Individual
DR. SANJAY GUNVANTLAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
713 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320-1614
(757) 282-4150
Mailing address
713 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320-1614
(757) 282-4150
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101052810
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
TRICARE/CHAMPUS
VA
05
—
010226562
—
VA
01
—
06232
BC/BS
NC
01
—
10015733
SENTARA OPTIMA
VA
05
—
1245261650
—
VA
01
—
187096
ANTHEM BC/BS
VA
01
—
269859
ANTHEM
VA
01
—
35167
OPTIMA HEALTH PLAN
VA
01
—
441762
MAMSI
VA
01
—
641762
UHC/MAMSI
VA
05
—
7906232
—
NC
01
—
PAR
AETNA
VA
Enumeration date
07/05/2006
Last updated
04/18/2024
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