Provider Demographics
NPI:1881498392
Name:SHAKIBI, AHMAD ZAFAR
Entity type:Individual
Prefix:MR
First Name:AHMAD
Middle Name:ZAFAR
Last Name:SHAKIBI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 BELLFOREST CT APT 304
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-7328
Mailing Address - Country:US
Mailing Address - Phone:631-413-4137
Mailing Address - Fax:
Practice Address - Street 1:2700 BELLFOREST CT APT 304
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-7328
Practice Address - Country:US
Practice Address - Phone:631-413-4137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA123456789171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter