Provider Demographics
NPI:1396878344
Name:SHAKOORY, BITA (MD)
Entity type:Individual
Prefix:DR
First Name:BITA
Middle Name:
Last Name:SHAKOORY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BITA
Other - Middle Name:
Other - Last Name:SHAKOORY-ASL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2150 PENNSYLVANIA AVE NW
Mailing Address - Street 2:G-404
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3201
Mailing Address - Country:US
Mailing Address - Phone:202-741-2488
Mailing Address - Fax:202-741-2490
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW
Practice Address - Street 2:G-404
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-741-2488
Practice Address - Fax:202-741-2490
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL28237207RR0500X
PAMD446495207RR0500X
DCMD043001207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology