Search › Virginia › 363A00000X
Shabnam Shukrullah, PHYSICIAN ASSISTANT
NPI 1346081718 · on the registry since 2024
Practice
- Address
- 1800 Jonathan Way
Reston, VA 20190 - Phone
- (571) 888-9339
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-01
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 Virginia