Individual
ISHAN TARUN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5875 BREMO RD STE 104, RICHMOND, VA 23226-1934
(804) 282-2685
(804) 282-0780
Mailing address
8001 FRANKLIN FARMS DR RM 130, RICHMOND, VA 23229-5100
(804) 288-4827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101272143
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101272143
VA
Other
Enumeration date
04/09/2015
Last updated
04/29/2025
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