Individual
DR. FRED T SHAIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10200 THREE CHOPT RD, RICHMOND, VA 23233-2012
(804) 288-3277
(804) 282-1043
Mailing address
10200 THREE CHOPT RD, RICHMOND, VA 23233-2012
(804) 288-3277
(804) 282-1043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17492
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006547591
—
VA
Enumeration date
07/22/2005
Last updated
07/13/2010
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