Shah, Jyotsna Hebbar
Shah, Jyotsna Hebbar is an individual health care provider with primary practice located at 20955 Professional Plaza Suite 200 , Ashburn VA 20147-3405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shah, Jyotsna Hebbar can be contacted via phone (703) 729-7652.Contact Information
Primary practice address
20955 Professional Plaza Suite 200
Ashburn VA 20147-3405
Phone: (703) 729-7652
Fax: (703) 729-8746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101241988 | Virginia |
Profile Details
| NPI number | 1598950818 |
|---|---|
| LBN Legal business name | Shah, Jyotsna Hebbar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2007 |
| Last updated | Sep 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598950818 | NPPES |
| Virginia | MEDICAID | 1598950818 |
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