SHABNAM PROPHET

LEESBURG, VA
NPI1912446576
Other NameSHABNAM ASIFI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110-005674)
Enumeration Date2017-02-15
Last Update Date2020-01-23
Business Address
Mrs. SHABNAM PROPHET PA-C
44045 RIVERSIDE PKWY
LEESBURG, VA 20176-5101
Phone number: 703-858-6000
Mailing Address
Mrs. SHABNAM PROPHET PA-C
44045 RIVERSIDE PKWY
LEESBURG, VA 20176-5101
Phone number: 703-858-6000