Organization
SHABIH HASAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHABIH HASAN MD (OWNER)
(703) 787-7638
Entity
Organization
Contact information
Practice address
722 GRANT ST, STE. F, HERNDON, VA 20170-4532
(703) 787-7638
(703) 787-7654
Mailing address
722 GRANT ST, STE. F, HERNDON, VA 20170-4532
(703) 787-7638
(703) 787-7654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101056360
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007115873
—
VA
Enumeration date
11/14/2006
Last updated
07/14/2008
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