Provider Demographics
NPI:1497061196
Name:ANDREWS, SHALIMAR J (DO)
Entity Type:Individual
Prefix:DR
First Name:SHALIMAR
Middle Name:J
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SHALIMAR
Other - Middle Name:J
Other - Last Name:ENRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:620 JOHN PAUL JONES CIR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708-2197
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1562 MITSCHER AVE STE 250
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23551-2197
Practice Address - Country:US
Practice Address - Phone:757-836-1978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202921208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery