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NPI Code Detail

MEDICARE: SHYAMA ROSENFELD MD

MEDICARE: SHYAMA ROSENFELD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101054415VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080185748OTHERMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497720098
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHYAMA ROSENFELD MD
Provider Business Mailing Address
First Line : 500 W JUBAL EARLY DR STE 230
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-6508
Country : US
Telephone Number : 540-546-2633
Fax Number : 540-546-2632
Provider Business Practice Location Address
First Line : 1440 AMHERST ST
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-3010
Country : US
Telephone Number : 540-450-3339
Fax Number : 540-450-3338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 10/27/2022

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