Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 0101259241 | VA |
N | 207V00000X | Obstetrician & Gynecologist | 22716 | OK |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 0101259241 | VA |
NPI | 1477521110 |
---|---|
Provider Name | Seyed A Shobeiri |
First Address | Baltimore, MD 21297-3174 |
Second Address | Falls Church, VA 22042-3307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 30/06/2021 |