Individual
SOHRAB SHAHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 FOUNDATION WAY STE 3200, MARTINSBURG, WV 25401-9199
(304) 262-9400
(304) 262-9407
Mailing address
2500 FOUNDATION WAY, MARTINSBURG, WV 25401-9000
(304) 264-9202
(304) 264-9042
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22519
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015090
—
WV
01
—
P00966070
RAIL ROAD MEDICARE
WV
Enumeration date
07/02/2007
Last updated
04/07/2022
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