Healthcare Provider Details

I. General information

NPI: 1982654042
Provider Name (Legal Business Name): HEMANG H SHAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3235 ACADEMY AVE STE 305
PORTSMOUTH VA
23703-3200
US

IV. Provider business mailing address

2876 GUARDIAN LANE
VIRGINIA BEACH VA
23452-7327
US

V. Phone/Fax

Practice location:
  • Phone: 757-686-9300
  • Fax: 757-686-1514
Mailing address:
  • Phone: 757-463-5240
  • Fax: 757-463-6572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number0101053861
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0101053861
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2278P1004X
TaxonomyPulmonary Diagnostics Certified Respiratory Therapist
License Number0101053861
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number0101053861
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: