Healthcare Provider Details

I. General information

NPI: 1801914940
Provider Name (Legal Business Name): SHREE SUBHASH, M.D.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 N GEORGE MASON DR STE 130
ARLINGTON VA
22205-3680
US

IV. Provider business mailing address

1635 N GEORGE MASON DR STE 130
ARLINGTON VA
22205-3680
US

V. Phone/Fax

Practice location:
  • Phone: 703-527-1500
  • Fax: 703-527-0190
Mailing address:
  • Phone: 703-527-1500
  • Fax: 703-527-0190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHREE SUBHASH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 703-527-1500