Individual
MICHELLE SHADI ABGHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
44055 RIVERSIDE PKWY STE 108, LEESBURG, VA 20176-5179
(703) 858-8600
(703) 858-8603
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101272070
VA
208600000X
Surgery Physician
4301106101
MI
Other
Enumeration date
06/24/2014
Last updated
10/26/2021
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