MEDICARE: SHABANA ZAHIR DMD & ASSOCIATES PLLC

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	122300000X	Dentist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0401412167	OTHER	VA	DENTAL LICENSE

General Provider Information

NPI Number	:	1871050807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHABANA ZAHIR DMD & ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	501 CEDAR RD STE 1A
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-5527
Country	:	US
Telephone Number	:	757-548-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 CEDAR RD STE 1A
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-5527
Country	:	US
Telephone Number	:	757-548-0000
Fax Number	:	757-548-0050

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHABANA ZAHIR
Credential	:	DMD
Telephone Number	:	757-548-0000

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	03/07/2023

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