Individual
DR. FAYAZ A SHAWL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7620 CARROLL AVE, #200, TAKOMA PARK, MD 20912-6387
(301) 891-8570
(301) 891-0630
Mailing address
7620 CARROLL AVE, #200, TAKOMA PARK, MD 20912-6387
(301) 891-8570
(301) 891-0630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0022639
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265482368
INDIVIDUAL NPI
MN
05
—
793851900
—
MD
Enumeration date
05/11/2006
Last updated
09/28/2011
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