Shinaishin, Ahmed Tarik

Shinaishin, Ahmed Tarik is an individual health care provider with primary practice located at 7500 Iron Bar Ln Ste 120 , Gainesville VA 20155-3603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shinaishin, Ahmed Tarik can be contacted via phone (703) 753-6772.

Contact Information

Primary practice address
7500 Iron Bar Ln Ste 120 Gainesville VA 20155-3603
Phone: (703) 753-6772
Fax: (888) 972-4515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0058963 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101239493 Virginia

Profile Details

NPI number 1497749055
LBN Legal business name Shinaishin, Ahmed Tarik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 23rd, 2014 - about 11 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 1497749055 NPPES
Maryland MEDICAID H33950

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