NPI 1063891653

Shuaib Medical Center

Organisation Point of Service Alexandria, VA

Practice location

Address: 4810 Beauregard St Suite #303, Alexandria, VA 22312-1709
Phone: (703) 750-0108
Fax: (703) 750-0230

Authorised official

Name: Mustafa Ahmed Abbasi
Title: Owner/Physician
Phone: (703) 750-0108

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 0101054694 (VA)

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Registry record

NPI: 1063891653
Entity type: Organization
NPI issued: 28 May 2015
Record last updated: 28 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.