Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 135132 | NC |
Y | 207VE0102X | Reproductive Endocrinologist | 0101253819 | VA |
NPI | 1376718767 |
---|---|
Provider Name | Dr. Anish Anilkumar Shah |
First Address | Richmond, VA 23235-1941 |
Second Address | Richmond, VA 23235-1941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2008 |
Last Update Date | 19/03/2019 |