Shawl, Fayaz A
Shawl, Fayaz A is an sole proprietor health care provider with primary practice located at 7620 Carroll Ave #200, Takoma Park MD 20912-6387. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shawl, Fayaz A can be contacted via phone (301) 891-8570.Contact Information
Primary practice address
7620 Carroll Ave #200
Takoma Park MD 20912-6387
Phone: (301) 891-8570
Fax: (301) 891-0630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0022639 | Maryland |
Profile Details
| NPI number | 1265482368 |
|---|---|
| LBN Legal business name | Shawl, Fayaz A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Sep 28th, 2011 - about 15 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 | 1265482368 | NPPES |
| Maryland | MEDICAID | 793851900 | |
| Maryland | Other | 1265482368 |
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