Individual
DR. SHAFIK MUSTAFA SIDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1625 N GEORGE MASON DR, SUITE 454, ARLINGTON, VA 22205-3683
(703) 717-4180
(703) 717-4181
Mailing address
1625 N GEORGE MASON DR, SUITE 454, ARLINGTON, VA 22205-3683
(703) 717-4180
(703) 717-4181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101253957
VA
208600000X
Surgery Physician
55164
MN
208C00000X
Colon & Rectal Surgery Physician
Primary
0101253957
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/24/2007
Last updated
10/16/2014
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