Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 01022040703 | VA |
NPI | 1124415344 |
---|---|
Provider Name | Dr. Shaz Shuja Anwar |
First Address | Aldie, VA 20105-5837 |
Second Address | Falls Church, VA 22042-1206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2015 |
Last Update Date | 29/07/2021 |