Individual
DR. AHMED TARIK SHINAISHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 IRON BAR LN STE 120, GAINESVILLE, VA 20155-3603
(703) 753-6772
(888) 972-4515
Mailing address
7500 IRON BAR LN STE 120, GAINESVILLE, VA 20155-3603
(703) 753-6772
(888) 972-4515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101239493
VA
208000000X
Pediatrics Physician
D0058963
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H33950
—
MD
Enumeration date
09/09/2005
Last updated
03/23/2014
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