Individual
SHAYAN MOOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 LEE ST, BOX 800212, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2203
(434) 924-9656
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101275182
VA
Other
Enumeration date
04/13/2015
Last updated
08/25/2022
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