Mendonca, Shawn James

Mendonca, Shawn James is an individual health care provider with primary practice located at 2296 Opitz Blvd Ste 350 , Woodbridge VA 22191-3346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mendonca, Shawn James can be contacted via phone (703) 680-2111.

Contact Information

Primary practice address
2296 Opitz Blvd Ste 350 Woodbridge VA 22191-3346
Phone: (703) 680-2111
Fax: (703) 878-3939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 297137 New York
Allopathic & Osteopathic Physicians / Urology 208800000X MD471068 Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X 0101280217 Virginia

Profile Details

NPI number 1619219052
LBN Legal business name Mendonca, Shawn James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2013
Last updated Apr 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619219052 NPPES
New York Other 297137 LICENSE

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