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NPI Code Detail

MEDICARE: SOFIA SHAHID

MEDICARE: SOFIA SHAHID
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
1390200000XStudent in an Organized Health Care Education/Training Program
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1902415250
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOFIA SHAHID
Provider Business Mailing Address
First Line : 949 1ST ST SE APT 710
Second Line :
City : WASHINGTON
State : DC
Zip : 20003-4741
Country : US
Telephone Number : 207-417-0053
Fax Number :
Provider Business Practice Location Address
First Line : 2800 EISENHOWER AVE STE 200
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-5210
Country : US
Telephone Number : 703-562-9220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2020
Last Update Date : 07/17/2023

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Directions to “ SOFIA SHAHID ” Practice Location

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