Shasti, Mark
Shasti, Mark is an sole proprietor health care provider with primary practice located at 46090 Lake Center Plz Ste 102 , Sterling VA 20165-5877. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shasti, Mark can be contacted via phone (703) 774-3132.Contact Information
Primary practice address
46090 Lake Center Plz Ste 102
Sterling VA 20165-5877
Phone: (703) 774-3132
Fax: (703) 683-7801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 0101266855 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101266855 | Virginia |
Profile Details
| NPI number | 1295078848 |
|---|---|
| LBN Legal business name | Shasti, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2013 |
| Last updated | Jun 22nd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295078848 | NPPES |
| Kentucky | MEDICAID | 7100527830 |
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