Healthcare Provider Details

I. General information

NPI: 1790828093
Provider Name (Legal Business Name): SHEIREEN HUANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5999 BURKE COMMONS RD
BURKE VA
22015-2880
US

IV. Provider business mailing address

13335 REGAL CREST DR
CLIFTON VA
20124-0980
US

V. Phone/Fax

Practice location:
  • Phone: 703-249-7856
  • Fax: 703-249-7713
Mailing address:
  • Phone: 703-350-1932
  • Fax: 703-249-7713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number0202204284
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: