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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