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Individual

SHAIMA MUDATHIR ELSHEIKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2296 OPITZ BLVD STE 110&120, WOODBRIDGE, VA 22191-3300
(301) 829-7693
Mailing address
12070 OLD LINE CTR STE 205, WALDORF, MD 20602-2567
(301) 829-7693

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101283106
VA
207R00000X
Internal Medicine Physician
Primary
0101283106
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101283106
VA
208VP0014X
Interventional Pain Medicine Physician
0101283106
VA

Other

Enumeration date
06/08/2023
Last updated
08/21/2024
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