Individual
DR. SWATI SUDHEER SHIRALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12255 FAIR LAKES PARKWAY, FAIRFAX, VA 22033-4512
(703) 934-5905
(703) 934-5778
Mailing address
2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6 W, KAISER PERMANENTE MID ATL PERM MED GRP PC ATTN T BROOKS, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101222017
VA
207X00000X
Orthopaedic Surgery Physician
ME0074071
FL
2086S0105X
Surgery of the Hand (Surgery) Physician
G081934
CA
Other
Enumeration date
12/14/2006
Last updated
06/06/2021
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