Shumburo, Khalid Mahdi

Shumburo, Khalid Mahdi is an individual health care provider with primary practice located at 13135 Lee Jackson Memorial Hwy #135, Fairfax VA 22033-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shumburo, Khalid Mahdi can be contacted via phone (703) 961-0488.

Contact Information

Primary practice address
13135 Lee Jackson Memorial Hwy #135 Fairfax VA 22033-1907
Phone: (703) 961-0488
Fax: (703) 961-0480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101233836 Virginia

Profile Details

NPI number 1952379737
LBN Legal business name Shumburo, Khalid Mahdi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 11th, 2016 - about 10 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 1952379737 NPPES
Virginia MEDICAID 010298016

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