Individual
ASIF SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3936 SPRINGFIELD RD, GLEN ALLEN, VA 23060
(804) 934-9340
(804) 934-9381
Mailing address
3936 SPRINGFIELD RD, GLEN ALLEN, VA 23060
(804) 934-9340
(804) 934-9381
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103300899
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010000475
—
VA
01
—
146328
ANTHEM
VA
01
—
172530
ANTHEM
VA
01
—
2610193
CIGNA
VA
01
—
3119449
MAMSI
VA
01
—
32-0038270
UNITED HEALTH CARE
VA
01
—
32-0038270-001
TRICARE
VA
01
—
3367610
AETNA HMO
VA
01
—
7547482
AETNA PPO
VA
01
—
P00326083
MEDICARE RAILROAD
VA
Enumeration date
06/20/2006
Last updated
01/02/2008
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