Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 0101040532 | VA |
NPI | 1295724888 |
---|---|
Provider Name | Dr. Farook A. Shaikh |
First Address | Falls Church, VA 22044-1905 |
Second Address | Falls Church, VA 22044-1905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2005 |
Last Update Date | 05/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6000576 | (05) | VA |
C62850 | (02) |