Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 27854 | AL |
N | 111NI0900X | Internist | 27854 | AL |
Y | 207RH0002X | Hospice and Palliative Medicine | 0101235368 | VA |
N | 207RH0003X | Hematology & Oncology | 27854 | AL |
NPI | 1275580722 |
---|---|
Provider Name | Dr. Purvi K Shah |
First Address | Richmond, VA 23226-3780 |
Second Address | Richmond, VA 23230-1714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 21/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009912042 | (05) | AL |
009912106 | (05) | AL |
009912147 | (05) | AL |
051559073 | (02) | AL |
051559073 | (05) | AL |
1275580722 | (05) | VA |
4909355 | CIGNA (01) | VA |
510-50070 | BCBS OF ALABAMA (01) | AL |
51541336 | BCBS OF ALABAMA (01) | AL |
51542612 | BCBS OF ALABAMA (01) | AL |
51542615 | BCBS OF ALABAMA (01) | AL |
528701110 | (05) | AL |
CA0084 | RR MEDICARE (01) | AL |
I21428 | (02) | AL |
P00603050 | RR MEDICARE (01) | AL |