Healthcare Provider Details

I. General information

NPI: 1831458041
Provider Name (Legal Business Name): MICHELLE LEAH SHAUB D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS MICHELLE LEAH SIZELOVE

II. Dates (important events)

Enumeration Date: 05/08/2012
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 HEALTH CAMPUS DR
ROCKINGHAM VA
22801-8679
US

IV. Provider business mailing address

471B BUTTONWOOD LN # A1
HELLAM PA
17406-9057
US

V. Phone/Fax

Practice location:
  • Phone: 540-689-1110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0102204172
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberO-1239
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0102204172
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberO-1239
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: