Provider Demographics
NPI:1376718767
Name:SHAH, ANISH ANILKUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANISH
Middle Name:ANILKUMAR
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9030 STONY POINT PKWY STE 450
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1941
Mailing Address - Country:US
Mailing Address - Phone:804-379-9000
Mailing Address - Fax:804-323-0236
Practice Address - Street 1:9030 STONY POINT PKWY STE 450
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1941
Practice Address - Country:US
Practice Address - Phone:804-379-9000
Practice Address - Fax:804-323-0236
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC135132207V00000X
VA0101253819207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology