Individual
RASESH MEHENDRA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 VOLVO PKWY STE 210B, CHESAPEAKE, VA 23320-1621
(757) 395-1600
(757) 436-7834
Mailing address
725 VOLVO PKWY STE 210B, CHESAPEAKE, VA 23320-1621
(757) 395-1600
(757) 436-7834
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101230484
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007302681
—
VA
01
—
770002816
MEDICARE RAILROAD
—
Enumeration date
02/01/2006
Last updated
03/15/2024
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