Individual
MRS. KALYANI SUDHIR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 200-6933
Mailing address
34 POPLAR FOREST DR, FOREST, VA 24551-2070
(434) 426-1765
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024070079
VA
Other
Enumeration date
08/02/2006
Last updated
01/28/2019
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