Individual
DR. WAYNE THOMAS SHAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10200 THREE CHOPT RD, RICHMOND, VA 23233-2012
(804) 288-3277
(804) 282-1043
Mailing address
10200 THREE CHOPT RD, RICHMOND, VA 23233-2012
(804) 288-3277
(804) 282-1043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
010225951
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010291071
—
VA
01
—
P00319880
RAILROAD MEDICARE
TX
Enumeration date
09/09/2005
Last updated
04/14/2009
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