Individual
DR. MUNIRA SHODIKULOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20935 SANDIAN TER, STERLING, VA 20165-5859
(571) 234-3290
Mailing address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101264351
VA
Other
Enumeration date
04/13/2015
Last updated
10/20/2018
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