Individual
MALIK SHAHZEB ANWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41934 STONEYFORD TER, ALDIE, VA 20105-2790
(949) 351-0937
Mailing address
41934 STONEYFORD TER, ALDIE, VA 20105-2790
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354169125011
—
VA
Enumeration date
03/16/2021
Last updated
03/16/2021
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