Individual
RAHEELA SHAFAQ SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10 N GREENE ST, RM 2D-168, BALTIMORE, MD 21201-1524
(410) 605-7230
Mailing address
2726 GALLOWS RD APT 608, VIENNA, VA 22180-7145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001821
VA
152W00000X
Optometrist
OEG001950
PA
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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