Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | BP1-0040935 | TX |
N | 207VE0102X | Reproductive Endocrinologist | 0101258841 | VA |
Y | 207VE0102X | Reproductive Endocrinologist | MD.MD.60859659 | WA |
NPI | 1396030839 |
---|---|
Provider Name | Akhil B Shah |
First Address | Norfolk, VA 23507 |
Second Address | Kirkland, WA 98034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2011 |
Last Update Date | 28/06/2018 |