Individual
JYOTSNA HEBBAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20955 PROFESSIONAL PLAZA SUITE 200, ASHBURN, VA 20147-3405
(703) 729-7652
(703) 729-8746
Mailing address
224-D CORNWALL ST. NW SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101241988
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598950818
—
VA
Enumeration date
09/10/2007
Last updated
09/16/2022
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