Individual
ASHITA AMIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
8316 ARLINGTON BLVD, SUITE#515, FAIRFAX, VA 22031-5207
(703) 698-9254
(703) 698-9256
Mailing address
2894 SWANEE LN, FAIRFAX, VA 22031-1352
(703) 272-3515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003280
VA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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