Provider Demographics
NPI:1265476022
Name:JAHAN, SHEILA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:JAHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 N NASH ST UNIT 309
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-1563
Mailing Address - Country:US
Mailing Address - Phone:571-332-5757
Mailing Address - Fax:
Practice Address - Street 1:1881 N NASH ST UNIT 309
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209
Practice Address - Country:US
Practice Address - Phone:571-332-5757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101051081204D00000X, 2084N0400X
NMMD2016-08622084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
A0980001OtherCAREFIRST BCBS
546816OtherAETNA
VA200526OtherANTHEM BC BS
279915OtherAMERIGROUP
VA007102674Medicaid
228786OtherMAMSI
1452871OtherCIGNA
DC031723900Medicaid
546816OtherAETNA
VA200526OtherANTHEM BC BS
1452871OtherCIGNA