Individual
CHINTAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2017 JEFFERSON ST SW, FIRST FLOOR ADMINISTRATIVE SUITE, ROANOKE, VA 24014-2419
(540) 293-6924
Mailing address
2017 JEFFERSON ST SW, FIRST FLOOR ADMINISTRATIVE SUITE, ROANOKE, VA 24014-2419
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116023338
VA
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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