Individual
VAIDEHI ARCHIT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7474 LIMESTONE DR, GAINESVILLE, VA 20155-4007
(703) 721-7218
Mailing address
7474 LIMESTONE DR, GAINESVILLE, VA 20155-4007
(703) 721-7218
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101255679
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659663243
—
VA
Enumeration date
05/14/2011
Last updated
02/04/2019
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