Shasti, Mark

Shasti, Mark is an sole proprietor health care provider with primary practice located at 46090 Lake Center Plz Ste 102 , Sterling VA 20165-5877. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shasti, Mark can be contacted via phone (703) 774-3132.

Contact Information

Primary practice address
46090 Lake Center Plz Ste 102 Sterling VA 20165-5877
Phone: (703) 774-3132
Fax: (703) 683-7801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 0101266855 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101266855 Virginia

Profile Details

NPI number 1295078848
LBN Legal business name Shasti, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2013
Last updated Jun 22nd, 2023 - about 3 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 1295078848 NPPES
Kentucky MEDICAID 7100527830

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