Hasan, Shabih U

Hasan, Shabih U is an individual health care provider with primary practice located at 722 Grant St Suite F, Herndon VA 20170-4532. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hasan, Shabih U can be contacted via phone (703) 787-7638.

Contact Information

Primary practice address
722 Grant St Suite F Herndon VA 20170-4532
Fax: (703) 787-7654
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101056360 Virginia

Profile Details

NPI number 1205908761
LBN Legal business name Hasan, Shabih U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205908761 NPPES
Virginia MEDICAID 07115873

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