Individual
DR. HASSAN MURTAZA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1201 BROAD ROCK BLVD # 116A, RICHMOND, VA 23249-5024
(804) 675-5000
(804) 675-5860
Mailing address
1201 BROAD ROCK BLVD, MAIL CODE 116A, RICHMOND, VA 23249
(804) 675-5000
(804) 675-5860
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101258793
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
05/31/2013
Last updated
07/21/2022
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