Individual
SHAYLA KRISTIN GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 JOSEOH SIEWICK DR, FAIRFAX, VA 22033
(703) 391-3129
(703) 391-3006
Mailing address
3998 FAIR RIDGE RD, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 295-9369
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101253266
VA
207L00000X
Anesthesiology Physician
57.010479
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101253266
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457562720
—
VA
Enumeration date
05/25/2007
Last updated
02/07/2022
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