Individual
LUTFUNNESSA PARVEEN SHAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6201 CENTREVILLE RD STE 200, CENTREVILLE, VA 20121-2626
(703) 830-5600
(703) 830-6942
Mailing address
2985 ORCHARD LAKE RD, KEEGO HARBOR, MI 48320-1458
(248) 681-4200
(248) 681-0818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101244831
VA
207Q00000X
Family Medicine Physician
4301081699
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q00000X
TAXONOMY
MI
Enumeration date
10/03/2006
Last updated
11/14/2022
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