Individual
REENA KUNVARJI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8926 WOODYARD RD STE 602, CLINTON, MD 20735-4235
(301) 868-9414
(301) 868-6055
Mailing address
8926 WOODYARD RD STE 602, CLINTON, MD 20735-4235
(301) 868-9414
(301) 868-6055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008771
VA
363A00000X
Physician Assistant
Primary
C0008727
MD
363A00000X
Physician Assistant
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Other
Enumeration date
05/01/2022
Last updated
01/10/2024
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