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1760584247
MITA D SHAH
FAIRFAX, VA
NPI
1760584247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: VA 0101232722)
Enumeration Date
2006-09-03
Last Update Date
2007-07-09
Business Address
-- MITA D SHAH M.D
10875 MAIN ST STE 105
FAIRFAX, VA 22030-4732
Phone number: 703-352-4121
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Mailing Address
-- MITA D SHAH M.D
12932 CEDAR GLEN LN
HERNDON, VA 20171-2951
Phone number: 703-689-4933
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