# FAYAZ A. SHAWL, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154599967
- **Authorized official:** DR. FAYAZ A SHAWL M.D. (OWNER)
- **Authorized official phone:** (301) 891-8570

## Contact information

- **Practice address:** 7620 CARROLL AVE, SUITE 200, TAKOMA PARK, MD 20912-6387
- **Practice address phone:** (301) 891-8570
- **Practice address fax:** (301) 891-0630
- **Mailing address:** 7620 CARROLL AVE, SUITE 200, TAKOMA PARK, MD 20912-6387
- **Mailing address phone:** (301) 891-8570
- **Mailing address fax:** (301) 891-0630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D0022639 | MD | Yes |

## Other

- **Enumeration date:** 02/14/2008
- **Last updated:** 06/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1154599967 | GROUP NPI | MD |
| 05 | — | 793851900 | — | MD |