Mr. Shah Nooristani
Mr. Shah Nooristani is a Surgical Assistant in Fairfax, Virginia. Licensed in District of Columbia and Virginia. Registered with an NPI since 2015.
- Licensed in
- DC, VA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
12011 Lee Jackson Hwy Ste 501Fairfax, VA 22033-3315
Phone: (703) 725-3359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X · Licence 0136000069 (VA) |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence SA0165 (DC) |
Record details
| NPI number | 1568842771 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 2, 2015 |
| Last updated in NPPES | January 2, 2019 |
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-
Roberto Orgeira
12011 Lee Jackson Memorial Hwy Ste 501, Fairfax, VA 22033-3315 · (703) 259-7028
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Mr. Randy Gonzalo Perez, CSFA
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