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Dr. Syed T Shahab

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NPI Number Detailed Information

Provider Information:

Name: Dr. Syed T Shahab
Gender: M
Provider License Number If Given: 101226888

NPI Information:

NPI: 1457345951
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/3/2019

Provider Business Mailing Address:

Address: 6400 ARLINGTON BLVD STE 930
Falls Church, VA 22042
Phone Number: 7035321700
Fax Number: 7035327803

Provider Business Practice Location Address:

Address: 1715 N GEORGE MASON DR SUITE 301
Arlington, VA 22205
Phone Number: 7034657800
Fax Number: 7034657801

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any): 207RC0000X
State: VA

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