Individual
DR. SHIVA VATANKHAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 PARK ST SE STE 200, VIENNA, VA 22180-4626
(703) 938-7800
(703) 938-4541
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101251006
VA
207R00000X
Internal Medicine Physician
D0073392
MD
Other
Enumeration date
04/13/2009
Last updated
04/23/2026
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