Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0101267047 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 0101267047 | VA |
NPI | 1275899700 |
---|---|
Provider Name | David Shisler |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-3841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2012 |
Last Update Date | 02/08/2021 |