Shahab M. Ehtesham MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101225223 Issued in VA

Legal business name

SHAHAB M. EHTESHAM MD PLLC

Practice address

611 Trent St NE
Norton, VA 24273-1533

Phone

(276) 679-4200

Fax

(276) 679-4230

NPI assigned

Nov 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shahab M. Ehtesham, M.D.

Title

Physician

Phone

(276) 679-4200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Uzma Ehtesham, MD

  • Psychiatry Physician
  • Norton, VA
  • NPI 1932162716
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1184804163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242930386",
            "telephone_number": "276-679-4200",
            "fax_number": "276-679-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 TRENT ST NE",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731533",
            "telephone_number": "276-679-4200",
            "fax_number": "276-679-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHAB M. EHTESHAM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "EHTESHAM",
        "authorized_official_first_name": "SHAHAB",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "276-679-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101225223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa T Salyer, FNP
• Hope A Salyers, LPC, MHSP
• Parmod Kumar Sapra, M.D.
• Keisha R Sexton, APRN
• Rickie Sexton
• Mohammad Shahid
• Tabeer Shaikh, MD
• Zamir Ali Shaikh
• Souhail Shamiyeh, MD
• Saleem Basha Sheikh, D.O.

• Internal Medicine Physician in Norton, VA
• Providers in Norton, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.