Individual
SHAH NADEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
FAIRFAX PARK OFFICE PLAZA, 9512 B LEE HIGHWAY, FAIRFAX, VA 22031-2303
(703) 345-8108
(703) 652-6007
Mailing address
2737 SUTTON RD, VIENNA, VA 22181-6107
(301) 538-9676
(703) 652-6007
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101243101
VA
2084P0800X
Psychiatry Physician
046357
CT
2084P0800X
Psychiatry Physician
24263
WV
2084P0800X
Psychiatry Physician
42986
KY
2084P0800X
Psychiatry Physician
C10008633
DE
2084P0802X
Addiction Psychiatry Physician
0101243101
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016879
—
WV
05
—
71000104370
—
KY
Enumeration date
12/11/2007
Last updated
04/09/2024
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