Individual
NEBIYU SHUKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(240) 686-2300
Mailing address
305 SKYHILL RD, ALEXANDRIA, VA 22314-4917
(571) 215-2254
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101272212
VA
207P00000X
Emergency Medicine Physician
D0103074
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2017
Last updated
08/04/2025
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