Ravadgar, Shabnam
Ravadgar, Shabnam is an sole proprietor health care provider with primary practice located at 494 Elden St Ste 220 , Herndon VA 20170-4543. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is her primary health care specialty. Ravadgar, Shabnam can be contacted via phone (703) 574-1716.Contact Information
Primary practice address
494 Elden St Ste 220
Herndon VA 20170-4543
Phone: (703) 574-1716
Fax: (703) 662-9904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401416835 | Virginia |
| Dental Providers / Dentist | 122300000X | DN21136 | Florida |
Profile Details
| NPI number | 1295114841 |
|---|---|
| LBN Legal business name | Ravadgar, Shabnam |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2015 |
| Last updated | Apr 12th, 2022 - about 4 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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