Provider Demographics
NPI:1457106916
Name:AL-SHAAR, BATOOL (MA)
Entity type:Individual
Prefix:MS
First Name:BATOOL
Middle Name:
Last Name:AL-SHAAR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8230 OLD COURTHOUSE RD STE 310
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3853
Mailing Address - Country:US
Mailing Address - Phone:571-536-0163
Mailing Address - Fax:703-242-1454
Practice Address - Street 1:8230 OLD COURTHOUSE RD STE 310
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3853
Practice Address - Country:US
Practice Address - Phone:571-536-0163
Practice Address - Fax:703-242-1454
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program