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NPI Code Detail

MEDICARE: MR. AKASH SHAH PT

MEDICARE: MR. AKASH SHAH PT
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
1225100000XPhysical Therapist2305206264VA

General Provider Information

NPI Number : 1942597950
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AKASH SHAH PT
Provider Business Mailing Address
First Line : 305 SUNCHASE BLVD
Second Line : APT J
City : FARMVILLE
State : VA
Zip : 23901-2984
Country : US
Telephone Number : 909-556-3570
Fax Number :
Provider Business Practice Location Address
First Line : 2003 COBB ST
Second Line :
City : FARMVILLE
State : VA
Zip : 23901-2603
Country : US
Telephone Number : 434-392-6106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2011
Last Update Date : 06/29/2011

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