Individual
FARHAN SHAUKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-8074
Mailing address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-8074
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0024185362
VA
Other
Enumeration date
11/25/2022
Last updated
07/24/2024
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