NPI 1023176013

Issam Mahmoud Shebaro, MD

Practitioner Obstetrics & Gynecology Physician Reston, VA

Practice location

Address: 11445 Sunset Hills Road, Reston, VA 20190-5276
Phone: (703) 709-1500
Fax: (703) 709-1711
Mailing address: 2101 E Jefferson St Ppqa Medicare Compliance Unit 6 W Kaiser Permanente Midatlantic Permanente Medical Grp PC, Rockville, MD 20852-4908

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 0101045171 (VA)

Other Obstetrics & Gynecology providers in Virginia →

Registry record

NPI: 1023176013
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2006
Record last updated: 18 Nov 2011

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.