Individual
DR. MANDANA SHAFAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6862 ELM ST STE 700, MC LEAN, VA 22101-3862
(703) 288-3750
(703) 726-9404
Mailing address
17336 PICKWICK DR, PURCELLVILLE, VA 20132-3143
(540) 338-3360
(540) 338-1975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101052152
VA
Other
Enumeration date
10/27/2006
Last updated
04/14/2022
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