Individual
MELODY YI SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 HAMAKER CT STE 600, FAIRFAX, VA 22031-2241
(703) 876-2788
(703) 839-8762
Mailing address
3023 HAMAKER CT STE 600, FAIRFAX, VA 22031-2241
(703) 876-2788
(703) 839-8762
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101272916
VA
2080P0205X
Pediatric Endocrinology Physician
Primary
0101272916
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
11/01/2021
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