Provider Demographics
NPI:1275580722
Name:SHAH, PURVI K (MD)
Entity Type:Individual
Prefix:DR
First Name:PURVI
Middle Name:K
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7202 GLEN FOREST DR
Mailing Address - Street 2:STE 200
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3780
Mailing Address - Country:US
Mailing Address - Phone:804-673-2024
Mailing Address - Fax:804-673-1796
Practice Address - Street 1:8007 DISCOVERY DR STE A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-8605
Practice Address - Country:US
Practice Address - Phone:804-287-3000
Practice Address - Fax:804-673-2731
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL27854207R00000X, 207RH0003X
VA0101235368207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51541336OtherBCBS OF ALABAMA
ALP00603050OtherRR MEDICARE
AL51542615OtherBCBS OF ALABAMA
ALCA0084OtherRR MEDICARE
VA4909355OtherCIGNA
AL009912147Medicaid
AL051559073Medicaid
VA1275580722Medicaid
AL510-50070OtherBCBS OF ALABAMA
AL528701110Medicaid
AL009912042Medicaid
AL009912106Medicaid
AL51542612OtherBCBS OF ALABAMA
AL009912042Medicaid
AL51542612OtherBCBS OF ALABAMA
VAVVL494AMedicare PIN
AL009912106Medicaid