MEDICARE: DR. AMISH B SHAH MD

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
1	207RN0300X	Nephrology Physician	0101260354	VA

General Provider Information

NPI Number	:	1598737389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMISH B SHAH MD

Provider Business Mailing Address
First Line	:	11357 NUCKOLS RD # 1149
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5504
Country	:	US
Telephone Number	:	256-698-0521
Fax Number	:

Provider Business Practice Location Address
First Line	:	11357 NUCKOLS RD # 1149
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5504
Country	:	US
Telephone Number	:	256-698-0521
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	07/31/2024

Similar Medicare Providers

1669818811 — DEENA A TERRELL LCSW
Practice Location Address:

11357 NUCKOLS RD # 1101
GLEN ALLEN, VA
23059-5504

Practice Phone: 804-918-5572
Practice Fax: 888-348-3804

1194735506 — DR. KENNETH ROBERT EPPERSON O.D.
Practice Location Address:

11369 NUCKOLS RD
GLEN ALLEN, VA
23059-5504

Practice Phone: 804-864-2020
Practice Fax: 804-377-8803

1164433892 — NICOLE ANN MARSHALL O.D.
Practice Location Address:

11369 NUCKOLS RD
GLEN ALLEN, VA
23059-5504

Practice Phone: 804-864-2020
Practice Fax: 804-377-8803

1306057021 — EPPERSON EYE,P.C.
Practice Location Address:

11369 NUCKOLS RD
GLEN ALLEN, VA
23059-5504

Practice Phone: 804-864-2020
Practice Fax: 804-377-8803

1275954588 — DR. CHRISTOPHER NEWELL MD
Practice Location Address:

11357 NUCKOLS RD , # 163
GLEN ALLEN, VA
23059-5504

Practice Phone: 804-833-8795
Practice Fax: 703-802-4730

1619360757 — DEBORAH CRUTCHFIELD NP
Practice Location Address:

11357 NUCKOLS RD # 2091
GLEN ALLEN, VA
23059-5504

Practice Phone: 804-965-4327
Practice Fax: 804-729-5887

Directions to “ DR. AMISH B SHAH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.