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Individual

KUNAL M SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2 W. LOUDOUN ST, SUITE 200, ROUND HILL, VA 20141
(703) 665-0113
Mailing address
PO BOX 307, ROUND HILL, VA 20142-0307
(703) 665-0113

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101258836
VA
207K00000X
Allergy & Immunology Physician
103758
MN
207K00000X
Allergy & Immunology Physician
51270
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
MN
Enumeration date
06/17/2008
Last updated
02/21/2022
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