Provider Demographics
NPI:1053208116
Name:AFZAAL, SHAHID
Entity type:Individual
Prefix:
First Name:SHAHID
Middle Name:
Last Name:AFZAAL
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7230 NIGHTINGALE HILL LANE
Mailing Address - Street 2:SUITE 404
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-3099
Mailing Address - Country:US
Mailing Address - Phone:703-717-1329
Mailing Address - Fax:
Practice Address - Street 1:7230 NIGHTINGALE HILL LANE
Practice Address - Street 2:SUITE 404
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3099
Practice Address - Country:US
Practice Address - Phone:703-717-1329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-21
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor