Individual
MS. DHARA SHAILESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
1412 N AUGUSTA ST, STAUNTON, VA 24401-2401
(540) 885-0006
(540) 885-5276
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002645
VA
152W00000X
Optometrist
TA2543
MD
Other
Enumeration date
07/28/2016
Last updated
03/21/2022
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