Nooristani, Shah

Nooristani, Shah is an individual health care provider with primary practice located at 12011 Lee Jackson Hwy Ste 501 , Fairfax VA 22033-3315. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Nooristani, Shah can be contacted via phone (703) 725-3359.

Contact Information

Primary practice address
12011 Lee Jackson Hwy Ste 501 Fairfax VA 22033-3315
Phone: (703) 725-3359
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 0136000069 Virginia
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X SA0165 District of Columbia

Profile Details

NPI number 1568842771
LBN Legal business name Nooristani, Shah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2015
Last updated Jan 2nd, 2019 - about 5 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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