Shah, Mehul Jitendra
Shah, Mehul Jitendra is an sole proprietor health care provider with primary practice located at 224A Cornwall St Nw Loudoun Community Health Center, Leesburg VA 20176-2701. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Shah, Mehul Jitendra can be contacted via phone (703) 443-2120.Contact Information
Primary practice address
224A Cornwall St Nw Loudoun Community Health Center
Leesburg VA 20176-2701
Phone: (703) 443-2120
Fax: (703) 443-2033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 0103300893 | Virginia |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 0103300893 | Virginia |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 0103300893 | Virginia |
Profile Details
| NPI number | 1730155896 |
|---|---|
| LBN Legal business name | Shah, Mehul Jitendra |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Jan 21st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730155896 | NPPES |
| Virginia | Other | J4630001 | CAREFIRST BC/BS |
| Virginia | Other | 1841465291 | CAREFIRST BC/BS |
| Virginia | Other | 350392 | CAREFIRST BC/BS |
| Virginia | Other | 3854800 | CAREFIRST BC/BS |
| Virginia | Other | 7980784 | CAREFIRST BC/BS |
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