MEDICARE: DR. SHEILA JAHAN M.D.

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
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	0101051081	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A0980001	OTHER		CAREFIRST BCBS
2	546816	OTHER		AETNA
3	200526	OTHER	VA	ANTHEM BC BS
4	279915	OTHER		AMERIGROUP
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	228786	OTHER		MAMSI
7	1452871	OTHER		CIGNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265476022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEILA JAHAN M.D.

Provider Business Mailing Address
First Line	:	1881 N NASH ST UNIT 309
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22209-1563
Country	:	US
Telephone Number	:	571-332-5757
Fax Number	:

Provider Business Practice Location Address
First Line	:	1881 N NASH ST UNIT 309
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22209
Country	:	US
Telephone Number	:	571-332-5757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	07/21/2022

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