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Organization

FAYAZ A. SHAWL, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FAYAZ A SHAWL M.D. (OWNER)
(301) 891-8570
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D0022639
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1154599967
GROUP NPI
MD
05
793851900
MD
Enumeration date
02/14/2008
Last updated
06/23/2008
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