SHEELON AGHILI


Address: 5801 Hampton Forest Way, Fairfax, VA 22030-7254
Phone: 5713342361

SHEELON AGHILI (NPI# 1396366555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396366555
Entity Type Individual
Full Name SHEELON AGHILI
Credential PA-C
Practice Address 5801 Hampton Forest Way
Fairfax
VA 22030-7254
Practice Telephone 5713342361
Mailing Telephone 5713342361
Enumeration Date 2020-04-29
Last Update Date 2020-04-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110007170 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5801 HAMPTON FOREST WAY
City FAIRFAX
State VA
Zip Code 22030-7254

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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Competitor

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City FAIRFAX
Zip Code 22030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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