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NPI Code Detail

MEDICARE: MRS. SHIPRA WAHI MS

MEDICARE:  MRS. SHIPRA  WAHI  MS
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
1235Z00000XSpeech-Language Pathologist05015MD

General Provider Information

NPI Number : 1578796645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHIPRA WAHI MS
Provider Business Mailing Address
First Line : 16500 HARBOUR TOWN DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20905-4092
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3000 MCCOMAS AVE
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-2316
Country : US
Telephone Number : 301-933-0060
Fax Number : 301-929-6335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2009
Last Update Date : 08/24/2009

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Directions to “ MRS. SHIPRA WAHI MS” Practice Location

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