Individual
ROBERT A. SHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 TOWN CENTER PKWY, STE 550, RESTON, VA 20190-3219
(703) 437-5977
(703) 478-2475
Mailing address
2901 TELESTAR CT., #300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101043550
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031742500
—
DC
01
—
060034781
RAILROAD MEDICARE DC #
DC
01
—
060062626
RAILROAD MEDICARE VA #
VA
05
—
1386646420
—
VA
05
—
220681100
—
MD
Enumeration date
06/01/2005
Last updated
08/27/2021
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