Individual
SAQIB MIAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 994-8100
(540) 994-8494
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101230558
VA
207R00000X
Internal Medicine Physician
Primary
0101230558
VA
208M00000X
Hospitalist Physician
0101230558
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010222168
—
VA
Enumeration date
07/24/2006
Last updated
12/04/2018
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