Individual
SIDDHARTH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Mailing address
84 LENOX RD, WEST BABYLON, NY 11704-6628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
92064
SC
Other
Enumeration date
04/06/2021
Last updated
03/14/2026
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