Nadeem, Shah

Nadeem, Shah is an individual health care provider with primary practice located at Fairfax Park Office Plaza 9512 B Lee Highway, Fairfax VA 22031-2303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Nadeem, Shah can be contacted via phone (703) 345-8108.

Contact Information

Primary practice address
Fairfax Park Office Plaza 9512 B Lee Highway Fairfax VA 22031-2303
Phone: (703) 345-8108
Fax: (703) 652-6007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24263 West Virginia
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 0101243101 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101243101 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 046357 Connecticut
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C10008633 Delaware
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 42986 Kentucky

Profile Details

NPI number 1174706253
LBN Legal business name Nadeem, Shah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated Apr 9th, 2024 - about 7 months 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 1174706253 NPPES
Kentucky MEDICAID 71000104370
Kentucky MEDICAID 3810016879

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