Organization
PERSONA PAYMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVAN SHABAN (EXECUTIVE DIRECTOR)
(703) 405-5338
Entity
Organization
Contact information
Practice address
1953 GALLOWS RD STE 120, TYSONS CORNER, VA 22182-4009
(703) 291-0021
Mailing address
8120 WOODMONT AVE STE 180, BETHESDA, MD 20814-2757
(703) 405-5338
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
11/10/2022
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