Provider Demographics
NPI:1710448022
Name:SHIFA HEALTH LLC
Entity Type:Organization
Organization Name:SHIFA HEALTH LLC
Other - Org Name:GARRISONVILLE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GALAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-288-2222
Mailing Address - Street 1:9 CENTER ST STE 101
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-8910
Mailing Address - Country:US
Mailing Address - Phone:540-288-2222
Mailing Address - Fax:540-288-1155
Practice Address - Street 1:9 CENTER ST STE 101
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-8910
Practice Address - Country:US
Practice Address - Phone:540-288-2222
Practice Address - Fax:540-288-1155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care