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NPI Code Detail

MEDICARE: DR. WAYNE THOMAS SHAIA M.D.

MEDICARE:  DR. WAYNE THOMAS SHAIA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist010225951VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00319880OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356335947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WAYNE THOMAS SHAIA M.D.
Provider Business Mailing Address
First Line : 10200 THREE CHOPT RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-2012
Country : US
Telephone Number : 804-288-3277
Fax Number : 804-282-1043
Provider Business Practice Location Address
First Line : 10200 THREE CHOPT RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-2012
Country : US
Telephone Number : 804-288-3277
Fax Number : 804-282-1043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 04/14/2009

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Directions to “ DR. WAYNE THOMAS SHAIA M.D.” Practice Location

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