Healthcare Provider Details

I. General information

NPI: 1538085618
Provider Name (Legal Business Name): S&S HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13767 DEACONS WAY
GAINESVILLE VA
20155-5883
US

IV. Provider business mailing address

13767 DEACONS WAY
GAINESVILLE VA
20155-5883
US

V. Phone/Fax

Practice location:
  • Phone: 703-989-9812
  • Fax:
Mailing address:
  • Phone: 703-989-9812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SHAHZAD HAIDER
Title or Position: FAMILY MEDICINE, HOSPITALIST.
Credential: MD
Phone: 703-989-9812