Organization
CORE PATH MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHABANA KHAN (PRESIDENT)
(703) 310-6864
Entity
Organization
Contact information
Practice address
4900 LEESBURG PIKE, ALEXANDRIA, VA 22302-1103
(703) 310-6864
(804) 597-2156
Mailing address
4900 LEESBURG PIKE, ALEXANDRIA, VA 22302-1103
(703) 310-6864
(804) 597-2156
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/07/2025
Last updated
04/27/2026
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