Individual
OMAR SHAIRZAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR ROAD, NW, LL CCC BUILDING, SUITE CL-60, WASHINGTON, DC 20007
(202) 444-8640
(202) 444-8854
Mailing address
PO BOX 13306, ROANOKE, VA 24032-3306
(540) 345-0289
(540) 345-9569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101263811
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2014
Last updated
07/23/2018
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