Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shabnam Prophet, PA-C

Individual provider Physician Assistant · NPI 1912446576

Mrs. Shabnam Prophet, PA-C is a Physician Assistant in Leesburg, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone: (703) 858-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 Opitz Blvd, Woodbridge, VA 22191-3311 — (703) 523-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110-005674 (VA)

Record details

NPI number1912446576
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2017
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020

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