Individual provider · Type 1 NPI
Mehul Jitendra Shah, DPM
Foot Surgery Podiatrist · Leesburg, VA
NPI number
1730155896
Active
Practice location
224A Cornwall St NW, Loudoun Community Health Center
Leesburg, VA 20176-2701
Fax (703) 443-2033
Mailing address
PO Box 616
Ashburn, VA 20146-0616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 0103300893 (VA) |
| Sports Medicine Podiatrist | 213ES0000X | 0103300893 (VA) |
| Foot Surgery Podiatrist Primary | 213ES0131X | 0103300893 (VA) |
Foot Surgery Podiatrist: Definition to come...
3 other providers at this address
About NPI 1730155896
Mehul Jitendra Shah, DPM's National Provider Identifier is 1730155896, issued on Feb 27, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Leesburg, VA. The record was last updated on Jan 21, 2012.