Individual
DR. TILAK UPENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GASTROENTEROLOGY, RICHMOND, VA 23298-5051
(804) 828-4060
(804) 828-5348
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101256808
VA
Other
Enumeration date
05/20/2008
Last updated
12/08/2014
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