Individual
DR. ALAP PRAVIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 BOULDERS PKWY STE 110, NORTH CHESTERFIELD, VA 23225-5513
(804) 410-9749
(804) 272-3498
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101273788
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
04-36740
KS
207RC0001X
Clinical Cardiac Electrophysiology Physician
2019042370
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002225
MEDICARE PTAN
KS
05
—
201084310A
—
KS
Enumeration date
01/26/2007
Last updated
12/23/2021
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