DR. SYED T SHAHAB (NPI# 1457345951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457345951 |
| Entity Type | Individual |
| Full Name | DR. SYED T SHAHAB |
| Credential | M.D. |
| Practice Address |
1715 N George Mason Dr Suite 301 Arlington VA 22205-3609 |
| Mailing Address |
6400 Arlington Blvd Ste 930 Falls Church VA 22042-2336 |
| Practice Telephone | 7034657800 |
| Practice Fax Number | 7034657801 |
| Mailing Telephone | 7035321700 |
| Mailing Fax Number | 7035327803 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2019-07-03 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101226888 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101226888 | VA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0101226888 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010003083 | 05 | |
| VA | BCBS | J444-0001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912940123 | Syed Masood Shahab | Internal Medicine | 2305 Genoa Business Park Dr, Suite 120, Brighton, MI 48114-7004 | 2006-06-14 |
| Street Address |
1715 N GEORGE MASON DR SUITE 301 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153111 | Deepali Kothary | Obstetrics & Gynecology | 1715 N George Mason Dr, Ste 406, Arlington, VA 22205-3662 | 2005-06-09 |
| 1578179891 | Kirsten Campbell | Physical Therapist | 1715 N George Mason Dr, Arlington, VA 22205-3609 | 2020-09-22 |
| 1346897949 | Patrick Choate | Physical Therapist | 1715 N George Mason Dr, Arlington, VA 22205-3609 | 2019-08-20 |
| 1497291769 | Thomas Stormer | Physical Therapist | 1715 N George Mason Dr, Suite 503, Medical Offices C, Arlington, VA 22205-3609 | 2017-01-11 |
| 1962850685 | Maureen Bradley | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-06-03 |
| 1952758591 | Dianne W Robbins | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-05-24 |
| 1891142543 | Kelly Mcgraw | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-05-23 |
| 1518314509 | Sharon Lynn Goldman | Specialist | 1715 N George Mason Dr, Suite 504, Arlington, VA 22205-3609 | 2016-05-19 |
| 1013394725 | Allergy Partners, Pa | Allergy & Immunology | 1715 N George Mason Dr, Suite 307, Arlington, VA 22205-3609 | 2015-05-01 |
| 1528475118 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1715 N George Mason Dr, Suite 409, Arlington, VA 22205-3609 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| Find all providers in zip 22205 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790348365 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1625 N George Mason Dr Ste 354, Arlington, VA 22205-3687 | 2019-04-18 |
| 1821488727 | Bruce Wilson Md PC | Internal Medicine | 5885 Airline Rd, # 985, Arlington, TN 38002-5127 | 2015-01-29 |
| 1457694630 | Raymond Henry Vlacancich | Internal Medicine | 1005 N Glebe Rd Ste 750, Arlington, VA 22201-5766 | 2013-04-05 |
| 1548435803 | Swapna Kanuri | Internal Medicine | 611 S Carlin Springs Rd Ste 201, Arlington, VA 22204-1078 | 2008-04-28 |
| 1518136134 | David S. Kwon | Internal Medicine | 4067 S Four Mile Run Dr, #403, Arlington, VA 22204-5611 | 2008-02-27 |
| 1851412068 | Total Wellness Care, LLC | Internal Medicine | 611 S Carlin Springs Rd Ste 506, Arlington, VA 22204-1088 | 2007-04-03 |
| 1134139843 | Joaquin Fernando Pombo | Internal Medicine | 2700 Buttermilk Dr, Arlington, TX 76006-3716 | 2006-08-08 |
| 1588672349 | Raymond R Hoare | Internal Medicine | 3833 N Fairfax Dr, Suite 200, Arlington, VA 22203 | 2006-08-04 |
| 1336162262 | Martin J O Hara | Internal Medicine | 1715 N George Mason Drive, Suite 107, Arlington, VA 22205 | 2006-07-25 |
| 1942230826 | Medical Associates of Northern Va Inc | Internal Medicine | 611 S Carlin Springs Rd Ste 504, Arlington, VA 22204-1088 | 2006-07-04 |
| Find all providers in ARLINGTON | ||||
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| 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.