Shaw, Leon R

Shaw, Leon R is an individual health care provider with primary practice located at 1150 Varnum St Ne , Washington DC 20017-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shaw, Leon R can be contacted via phone (202) 448-4041.

Contact Information

Primary practice address
1150 Varnum St Ne Washington DC 20017-2104
Phone: (202) 448-4041
Fax: (202) 269-7825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101234439 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD040830 District of Columbia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0065441 Maryland

Profile Details

NPI number 1841235009
LBN Legal business name Shaw, Leon R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jan 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841235009 NPPES
Virginia Other 289021 ANTHEM BCBS
Virginia Other P00019895 ANTHEM BCBS
Virginia Other 1809123-000 ANTHEM BCBS
Virginia MEDICAID 005720800 ANTHEM BCBS

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