Individual
DR. SHAHRYAR MAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8100 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5622
(703) 331-0300
(703) 331-0254
Mailing address
8100 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5622
(703) 331-0300
(703) 331-0254
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101055791
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06380
MEDICARE OF VA PTAN
VA
01
—
C08583
MEDICARE OF VA PTAN
VA
01
—
C09878
MEDICARE OF VA PTAN
VA
01
—
G00773
MEDICARE DC PTAN
DC
Enumeration date
05/27/2006
Last updated
05/22/2013
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