Individual
AMI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 BROAD ROCK BLVD, PRIMARY CARE SERVICE (171F), RICHMOND, VA 23249-0001
(804) 675-5543
Mailing address
1201 BROAD ROCK BLVD, PRIMARY CARE SERVICE (171F), RICHMOND, VA 23249-0001
(804) 675-5543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
240202
MA
Other
Enumeration date
06/03/2009
Last updated
01/06/2014
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