Provider Demographics
NPI:1629694526
Name:SHOORAB, RAZIEH (DC)
Entity Type:Individual
Prefix:MS
First Name:RAZIEH
Middle Name:
Last Name:SHOORAB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 OLDE TOWNE AVE APT 442
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-4371
Mailing Address - Country:US
Mailing Address - Phone:972-795-0799
Mailing Address - Fax:
Practice Address - Street 1:1712 I ST NW STE 110
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3702
Practice Address - Country:US
Practice Address - Phone:202-257-1363
Practice Address - Fax:888-839-9091
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCH030180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor