Doctor Name: | SHAWANA MUFTI |
NPI Number: | 1023237997 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0101241302 |
Business Practice Address: | 3930 Pender Dr, Suite 60 Fairfax, VA - 220302917 |
Business Phone Number: | 7035398987 |
Business Fax Number: | 7038654167 |
Mailing Address: | 3930 Pender Dr Ste 60, FAIRFAX |
State: | VA |
Postal Code: | 220300991 |
Phone Number: | 7035398987 |
Fax Number: | 7038654167 |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 05/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 0101241302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |