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Individual

DR. MYRON ALAN SHOHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3700 JOSEPH SIEWICK DR, SUITE 401, FAIRFAX, VA 22033-1744
(703) 281-1023
(703) 620-2331
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 401, FAIRFAX, VA 22033-1744
(703) 281-1023
(703) 620-2331

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
VA01C1029750
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6077595
VA
Enumeration date
03/24/2006
Last updated
11/01/2011
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