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Minu Shah, O.D.

Optometrist in Front Royal, VA. Individual provider (NPI-1).

NPI number1215249461
StatusActive
Last updated in NPPESJul 3, 2010

Details

NPI
1215249461
Entity type
Individual (NPI-1)
Name
Minu Shah
Credential
O.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 3, 2010
Last updated
Jul 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist0618001959VAYes
152WP0200X Optometrist, Pediatrics0618001959VA
152WV0400X Optometrist, Vision Therapy0618001959VA

Practice location

1211 N Shenandoah Ave
Front Royal, VA 22630-3531

Phone 919-302-6336

Mailing address

520 Colston Pl
Apt 302
Winchester, VA 22601-6620

Phone 919-302-6336

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