Organization
HEALTHLINE FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TUSHAR SHAH MD (PRESIDENT)
(804) 530-0707
Entity
Organization
Contact information
Practice address
13121 RIVERS BEND BLVD, CHESTER, VA 23836-8624
(804) 530-0707
(804) 530-0074
Mailing address
13121 RIVERS BEND BLVD, CHESTER, VA 23836-8624
(804) 530-0707
(804) 530-0074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005640563
—
VA
Enumeration date
03/27/2007
Last updated
09/15/2011
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