Individual
DR. SHABANA FIRDOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1812 PLAZA DR, WINCHESTER, VA 22601-6365
(540) 667-1226
(540) 667-0519
Mailing address
1812 PLAZA DR, WINCHESTER, VA 22601-6365
(540) 667-1226
(540) 667-0519
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101232562
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010164257
—
VA
01
—
153450
ANTHEM
—
Enumeration date
08/15/2006
Last updated
10/01/2013
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