Provider Demographics
NPI:1831458041
Name:SHAUB, MICHELLE LEAH (DO)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LEAH
Last Name:SHAUB
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:MICHELLE
Other - Middle Name:LEAH
Other - Last Name:SIZELOVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:471B BUTTONWOOD LN # A1
Mailing Address - Street 2:
Mailing Address - City:HELLAM
Mailing Address - State:PA
Mailing Address - Zip Code:17406-9057
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1906 BELLEVIEW AVE SE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1838
Practice Address - Country:US
Practice Address - Phone:540-981-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDO-1239207R00000X, 208M00000X
VA0102204172208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine