person
Dr. Mehul Jitendra Shah, DPM
Foot Surgery Podiatrist in Leesburg, Virginia
NPI 1730155896

Mehul Jitendra Shah is a Foot Surgery Podiatrist based in Ashburn, VA and is specialized in Foot Surgery. Mehul Jitendra Shah practices in Leesburg, VA and has the professional credentials of DPM. The NPI Number for Mehul Jitendra Shah is 1730155896 and holds a License No. 0103300893 (Virginia).

The current practice location address for Mehul Jitendra Shah is 224A Cornwall St Nw, Leesburg, VA and can be reached out via phone at 703-443-2120 and via fax at 703-443-2033. You can also correspond with Mehul Jitendra Shah through the mailing address at PO BOX 616, ASHBURN, VA - 20146-0616 (mailing address contact number: 703-443-2120).

Location: 224A Cornwall St Nw, Leesburg, VA, 20146-0616
person
Provider Profile Details
NPI Number
1730155896
Provider Name
Mehul Jitendra Shah
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
224A Cornwall St Nw, Leesburg, VA, 20146-0616
Phone Number
703-443-2120
Fax Number
703-443-2033
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J4630001 01 VA CAREFIRST BC/BS
1841465291 01 VA GROUP NPI
350392 01 VA ANTHEM BC/BS
3854800 01 VA CIGNA
7980784 01 VA AETNA
institution
Provider Business Practice Location Address Details
Address
224A Cornwall St Nw
City
State
Zip
20176-2701
Phone Number
703-443-2120
Fax Number
703-443-2033
person
Provider Business Mailing Address Details
Address
Po Box 616
City
State
Zip
20146-0616
Phone Number
703-443-2120
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
0103300893 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
0103300893 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
0103300893 (Virginia)
Definition
Definition to come...
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