Organization
DULLES FOOT ANKLE INSTITUTE, PLC
Active
Organization
DULLES FOOT ANKLE INSTITUTE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHUL JITENDRA SHAH DPM (SOLE PROPIERTOR)
(703) 443-2000
Entity
Organization
Contact information
Practice address
224A CORNWALL ST NW, LOUDOUN COMMUNITY HEALTH CENTER, LEESBURG, VA 20176-2701
(703) 443-2120
(703) 443-2033
Mailing address
PO BOX 616, ASHBURN, VA 20146-0616
(703) 443-2000
(703) 443-2033
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103300893
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2907018
UNITED HEALTHCARE
VA
01
—
350392
ANTHEM BC/BS
VA
01
—
3854800
CIGNA
VA
01
—
7980784
AETNA
—
01
—
J4630001
CAREFIRST BC/BS
VA
Enumeration date
04/28/2008
Last updated
01/21/2012
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