MITA D SHAH (NPI# 1760584247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760584247 |
| Entity Type | Individual |
| Full Name | MITA D SHAH |
| Credential | M.D |
| Practice Address |
10875 Main St Ste 105 Fairfax VA 22030-4732 |
| Mailing Address |
12932 Cedar Glen Ln Herndon VA 20171-2951 |
| Practice Telephone | 7033524121 |
| Practice Fax Number | 7033524122 |
| Mailing Telephone | 7036894933 |
| Mailing Fax Number | 7036893849 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 0101232722 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659930139 | Mita Dhiren Shah | Case Manager/Care Coordinator | 200 Ne 2nd St, Oklahoma City, OK 73104-4070 | 2019-06-10 |
| 1104109032 | Mita Shah | Pharmacist | 12 S Black Horse Pike, Bellmawr, NJ 08031-2305 | 2011-09-27 |
| 1417069683 | Mita H Shah | Pediatrics | 1135 S Sunset Ave, West Covina, CA 91790-3937 | 2006-08-31 |
| 1194773010 | Mita Manhar Shah | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2006-05-04 |
| Street Address |
10875 MAIN ST STE 105 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-4732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821308115 | Faranak Ghalehbaghi | Dentist | 10875 Main St Ste 105, Fairfax, VA 22030-4732 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457562720 | Shayla Kristin Gaither | Anesthesiology | 3600 Joseoh Siewick Dr, Fairfax, VA 22033 | 2007-05-25 |
| 1750484275 | Raul Abalos Moran | Anesthesiology | 10734 Main Street, Fairfax, VA 22030 | 2006-09-07 |
| 1568464121 | Frank Mathieu | Anesthesiology | 3998 Fair Ridge Dr., Suite 320, Fairfax, VA 22033-2921 | 2005-08-12 |
| 1326049396 | Ziad Yafi | Anesthesiology | 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2921 | 2005-08-02 |
| 1609357235 | Advanced Dental Anesthesia Pllc | Anesthesiology | 10611 Braddock Rd, Fairfax, VA 22032-2201 | 2018-08-22 |
| 1003283938 | Mid Atlantic Pain Management, LLC | Anesthesiology | 3930 Pender Dr, Suite 120, Fairfax, VA 22030-0985 | 2015-08-26 |
| 1578984852 | North American Partners In Anesthesia Florida LLC | Anesthesiology | 3998 Fair Ridge Dr., Ste 300, Fairfax, VA 22033-2921 | 2014-01-03 |
| 1316102874 | Valerie Ann Gouzd | Anesthesiology | 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2907 | 2008-07-24 |
| 1780846113 | Mirja Laroche | Anesthesiology | 3600 Joseph Siewick Dr, Anesthesia Dept, Fairfax, VA 22033-1709 | 2008-06-26 |
| 1700048261 | Bella T. Speight | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2008-06-26 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.