SearchMaryland183500000X

Shakib Pourifarsi

NPI 1295342871 · on the registry since 2020 · sole proprietor

Practice

Address
662 Quince Orchard Rd
Gaithersburg, MD 20878
Phone
(301) 990-6993
Organisation at this address
Walgreen Co
Walgreen Co.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland