Individual
SHAWAL TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8100 ASHTON AVE STE 200, MANASSAS, VA 20109-5688
(571) 581-1771
(571) 358-3941
Mailing address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024194298
VA
Other
Enumeration date
01/23/2022
Last updated
12/09/2025
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