Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa C Shah, DO

Individual provider Family Medicine Physician · NPI 1316129893

Dr. Lisa C Shah, DO is a Family Practice in Prince George, Virginia. Qualified in 2007, 19 years ago. Practices with Prime Care Family Practice PC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
19
Licensed in
VA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4700 Puddledock Rd Ste 300
Prince George, VA 23875-1268
Phone: (804) 526-1111
Fax: (804) 526-2978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102202032 (VA)

Record details

NPI number1316129893
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 27, 2007
Last updated in NPPESJune 16, 2015
Mailing address4700 Puddledock Rd, Suite 300, Prince George, VA 23875-1268

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Prime Care Family Practice Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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