Individual
DR. SYED T SHAHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8501 ARLINGTON BLVD STE 330, FAIRFAX, VA 22031-4625
(703) 532-1700
(703) 532-7803
Mailing address
8501 ARLINGTON BLVD STE 330, FAIRFAX, VA 22031-4625
(703) 532-1700
(703) 532-7803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101226888
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101226888
VA
207RI0011X
Interventional Cardiology Physician
0101226888
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010003083
—
VA
01
—
J444-0001
BCBS
VA
Enumeration date
09/12/2005
Last updated
09/09/2022
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