Individual
SHANNON TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3535 S BALL ST STE A, ARLINGTON, VA 22202-4452
(630) 991-6991
Mailing address
3535 S BALL ST STE A, ARLINGTON, VA 22202-4452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101276465
VA
Other
Enumeration date
07/06/2019
Last updated
03/17/2026
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