Issam Mahmoud Shebaro MD

NPI 1023176013 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1023176013
Gender Male
Enumeration Date 12/04/2006
Last Updated 11/18/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
11445 SUNSET HILLS ROAD
RESTON VA, 20190-5276, US
Phone (703) 709-1500
Fax (703) 709-1711
Business Location
2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6 W
KAISER PERMANENTE MIDATLANTIC PERMANENTE MEDICAL GRP PC
ROCKVILLE MD, 20852-4908, US
Phone (301) 816-2424
Fax (301) 816-6308
Toxanomy
Taxonomy Code 207V00000X
License State Virginia
License Number 0101045171
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According to our database, Dr. Issam Mahmoud Shebaro MD NPI is 1023176013, taxonomy code is 207V00000X and license number is 0101045171, license state is located at Virginia. Issam Mahmoud Shebaro MD physically located at 11445 Sunset Hills Road, Reston VA, 20190-5276. NPI Number Issam Mahmoud Shebaro MD has the Individual type.

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1023176013 NPI number is provided on an as is basis without warranty of any kind. 1023176013 is maintained by the National Plan & Provider Enumeration System. The contents of Issam Mahmoud Shebaro MD are for informational purposes only.