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Contact Information

LEON R SHAW, MD
1150 VARNUM ST NE
WASHINGTON, DC20017-2104
 Phone: 202-448-4041
 Fax: 202-269-7825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for LEON R SHAW · (Male)

NPI # 1841235009
Status Active
Credentials MD
Entity Individual
Enumeration date 06/19/2006
Last updated 01/22/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD040830
  • MD License # D0065441
  • VA License # 0101234439
  • VA Medicaid 005720800
  • VA Other 289021 ANTHEM BCBS
  • VA Other 1809123-000 MEDICAID - WV
  • VA Other P00019895 MEDICARE - RR
Hospital affiliation(s)
  • HALIFAX REGIONAL MEDICAL CENTER INC - (Acute Care)
    250 SMITH CHURCH RD
    ROANOKE RAPIDS, NC 27870
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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