Vaidehi Archit Shah, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101255679 Issued in VA

Practice address

7474 Limestone Dr
Gainesville, VA 20155-4007

Phone

(703) 721-7218

NPI assigned

May 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vaidehi Girishchandra Panchal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1305331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1659663243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 LIMESTONE DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554007",
            "telephone_number": "703-721-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 LIMESTONE DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554007",
            "telephone_number": "703-721-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VAIDEHI",
        "middle_name": "ARCHIT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-14",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101255679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659663243",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VAIDEHI",
            "last_name": "PANCHAL",
            "middle_name": "GIRISHCHANDRA",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dena Shaban
• Anne O'Malley Shaffer, DPM
• Faisal Arkan Shakir, DDS
• Courtney Shaughnessy
• Nahil M Shayeb
• Shea'S Speech Therapy PLLC
• Ahmed Tarik Shinaishin, MD

• Pediatrics Physician in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.