Individual
SHAMANTA MARIUM MOSTOFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
Mailing address
1215 LEE STREET BOX 800394, CHARLOTTESVILLE, VA 22908-0816
(717) 982-7821
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
0101285488
VA
Other
Enumeration date
04/13/2021
Last updated
12/08/2025
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