Individual
SHAREH HALLAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 E MARSHALL ST # 980615, RICHMOND, VA 23298-5051
(804) 828-3524
Mailing address
1250 E MARSHALL ST, BOX 980615, RICHMOND, VA 23298-0615
(804) 828-3524
(804) 628-2015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT212189
PA
2085R0202X
Diagnostic Radiology Physician
Primary
0116030670
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2016
Last updated
07/18/2017
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