Individual
SHAYMA J AL-MUDHAFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 PAYNE ST, SUITE 101, FALLS CHURCH, VA 22041-2313
(703) 820-7520
Mailing address
3400 PAYNE ST, SUITE 101, FALLS CHURCH, VA 22041-2313
(703) 820-7520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101242652
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101242652
LICENSE
VA
Enumeration date
11/16/2007
Last updated
03/07/2023
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