Poorshaghaghi, Shahrzad
Poorshaghaghi, Shahrzad is an sole proprietor health care provider with primary practice located at 2235 Cedar Ln Ste 102 , Vienna VA 22182-5247. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Poorshaghaghi, Shahrzad can be contacted via phone (703) 556-4888.Contact Information
Primary practice address
2235 Cedar Ln Ste 102
Vienna VA 22182-5247
Phone: (703) 556-4888
Fax: (703) 556-7774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701002934 | Virginia |
Profile Details
| NPI number | 1437171337 |
|---|---|
| LBN Legal business name | Poorshaghaghi, Shahrzad |
| Credentials | E.D.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Oct 5th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437171337 | NPPES |
| Virginia | MEDICAID | 005411165 |
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