Individual
DR. AHMED SHAHAB-UDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
16011 KAIROS RD, SUITE 100, SOUTH CHESTERFIELD, VA 23834-5207
(804) 520-2600
Mailing address
16011 KAIROS RD, SUITE 100, SOUTH CHESTERFIELD, VA 23834-5207
(804) 520-2600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56041
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006761453
—
VA
01
—
271717
ANTHEM HEALTH KEEPERS PL
VA
Enumeration date
04/26/2006
Last updated
01/29/2014
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