Individual
DR. SHAKEEL R SHAREEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
1850 TOWN CENTER PKWY, STE 301, RESTON, VA 20190-3300
(571) 353-1903
Mailing address
1850 TOWN CENTER PKWY, STE 301, RESTON, VA 20190-3300
(585) 233-8449
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101256812
VA
207W00000X
Ophthalmology Physician
194774
NY
207W00000X
Ophthalmology Physician
35.135629
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02705071
—
NY
Enumeration date
07/10/2006
Last updated
07/19/2021
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