Provider Demographics
NPI:1922368372
Name:SHAH, SYED AMMER (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:AMMER
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:DEPT. OF SURGERY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-9325
Practice Address - Fax:804-828-4808
Is Sole Proprietor?:No
Enumeration Date:2012-05-19
Last Update Date:2016-12-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101261034208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery