MEDICARE: MARIYAM SHAH DDS

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	122300000X	Dentist	0401417108	VA

General Provider Information

NPI Number	:	1639788334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIYAM SHAH DDS

Provider Business Mailing Address
First Line	:	3825 NIGHTMUSE WAY
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-4800
Country	:	US
Telephone Number	:	713-548-7184
Fax Number	:

Provider Business Practice Location Address
First Line	:	8111 MIDLOTHIAN TPKE
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-5115
Country	:	US
Telephone Number	:	804-918-9667
Fax Number	:

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

Provider Enumeration Date	:	07/28/2020
Last Update Date	:	07/28/2020

Similar Medicare Providers

1225132996 — VIRGINIA CVS PHARMACY, L.L.C.
Practice Location Address:

8121 MIDLOTHIAN TPKE
NORTH CHESTERFIELD, VA
23235-5115

Practice Phone: 804-560-9481
Practice Fax:

1376677666 — DR. JOHN M BICKERTON D.O.
Practice Location Address:

8107 MIDLOTHIAN TPKE
NORTH CHESTERFIELD, VA
23235-5115

Practice Phone: 804-330-2588
Practice Fax: 804-330-4396

1780045849 — IDEAL DENTAL CARE , INC
Practice Location Address:

8111 MIDLOTHIAN TPKE
NORTH CHESTERFIELD, VA
23235-5115

Practice Phone: 804-918-9667
Practice Fax: 804-918-9652

1538763347 — JOHN HANLEY PHARM.D.
Practice Location Address:

8121 MIDLOTHIAN TPKE
NORTH CHESTERFIELD, VA
23235-5115

Practice Phone: 804-560-9481
Practice Fax:

1588268734 — KATELYN STEIN PHARMD
Practice Location Address:

8121 MIDLOTHIAN TPKE
NORTH CHESTERFIELD, VA
23235-5115

Practice Phone: 804-560-9481
Practice Fax:

1841895679 — DR. ANSHUL K PATEL PHARMD, BCPS
Practice Location Address:

8121 MIDLOTHIAN TPKE
NORTH CHESTERFIELD, VA
23235-5115

Practice Phone: 804-560-9481
Practice Fax: 804-560-4185

Directions to “ MARIYAM SHAH DDS” 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.