Individual
DR. MAHENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-9111
(894) 828-0139
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(894) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101-045906
VA
207P00000X
Emergency Medicine Physician
27118
SC
207P00000X
Emergency Medicine Physician
35.079426
OH
2080P0206X
Pediatric Gastroenterology Physician
Primary
M2800
TX
Other
Enumeration date
07/17/2006
Last updated
10/18/2012
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