Individual
DR. SHAWN MARHAMATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D:
Contact information
Practice address
2296 OPITZ BLVD STE 350, WOODBRIDGE, VA 22191-3346
(703) 680-2111
Mailing address
2296 OPITZ BLVD STE 350, WOODBRIDGE, VA 22191-3346
(703) 680-2111
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101273170
VA
208800000X
Urology Physician
D0092538
MD
Other
Enumeration date
03/31/2015
Last updated
01/30/2022
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