| NPI | 1083974307 |
|---|---|
| Other Name | SHABNAM DADGAR |
| Entity Type | Organization |
| Authorized Contact | SHABNAM DADGAR Owner 703-868-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD d0072779) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2025-12-24 |