Individual
SHEFALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4035 ELECTRIC RD STE A, ROANOKE, VA 24018-8449
(540) 772-8670
(540) 772-7901
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5372
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101275651
VA
390200000X
Student in an Organized Health Care Education/Training Program
RTL190348
NC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/18/2019
Last updated
07/07/2022
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