Individual
ANGELICA PATRICIA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7001 FOREST AVE STE 405, RICHMOND, VA 23230-1726
(804) 285-6811
(804) 281-7264
Mailing address
PO BOX 639970, CINCINNATI, OH 45263-9970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101281387
VA
208000000X
Pediatrics Physician
681703
TX
208000000X
Pediatrics Physician
MD2021-0878
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93232888
—
NM
Enumeration date
04/25/2018
Last updated
10/04/2024
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