Individual
DISHA R. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7525 TIDEWATER DR STE 19, NORFOLK, VA 23505-3700
(757) 330-0150
(877) 487-3044
Mailing address
7525 TIDEWATER DR STE 19, NORFOLK, VA 23505-3700
(757) 330-0150
(877) 487-3044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50665
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
05
—
Q005112
—
TN
Enumeration date
08/09/2010
Last updated
02/18/2026
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