Provider Demographics
NPI:1659574010
Name:SHABTI, RAAFAT ALI (MD)
Entity type:Individual
Prefix:DR
First Name:RAAFAT
Middle Name:ALI
Last Name:SHABTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAY
Other - Middle Name:
Other - Last Name:SHABTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9420 FAIRFAX BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2406
Mailing Address - Country:US
Mailing Address - Phone:703-565-1823
Mailing Address - Fax:833-471-4157
Practice Address - Street 1:9420 FAIRFAX BLVD STE 4
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2406
Practice Address - Country:US
Practice Address - Phone:703-565-1823
Practice Address - Fax:833-471-4157
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057738207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSF94601Medicare UPIN