Shoham, Myron Alan
Shoham, Myron Alan is an sole proprietor health care provider with primary practice located at 3700 Joseph Siewick Dr Suite 401, Fairfax VA 22033-1744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shoham, Myron Alan can be contacted via phone (703) 281-1023.Contact Information
Primary practice address
3700 Joseph Siewick Dr Suite 401
Fairfax VA 22033-1744
Phone: (703) 281-1023
Fax: (703) 620-2331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | VA01C1029750 | Virginia |
Profile Details
| NPI number | 1285694083 |
|---|---|
| LBN Legal business name | Shoham, Myron Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Nov 1st, 2011 - about 13 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 | 1285694083 | NPPES |
| Virginia | MEDICAID | 6077595 |
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