Active NPI
Shuaib Medical Center
- Point of Service
- Alexandria, VA
National Provider Identifier
1063891653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 0101054694
- Legal business name
- SHUAIB MEDICAL CENTER
- Practice address
- 4810 Beauregard St
Suite #303
Alexandria, VA 22312-1709 - Phone
- (703) 750-0108
- Fax
- (703) 750-0230
- NPI assigned
- May 28, 2015
- Last updated
- May 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mustafa Ahmed Abbasi, M.D.
- Title
- Owner/Physician
- Phone
- (703) 750-0108
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 0101054694 | VA | Primary |
Addresses
Primary practice location
4810 Beauregard St
Suite #303
Alexandria, VA 22312-1709
Mailing address
4810 Beauregard St
Suite #303
Alexandria, VA 22312-1709
Phone (703) 750-0108
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Alexandria, VA
- NPI 1316019912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432771200000",
"number": "1063891653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 BEAUREGARD ST",
"address_2": "SUITE #303",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121709",
"telephone_number": "703-750-0108",
"fax_number": "703-750-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 BEAUREGARD ST",
"address_2": "SUITE #303",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121709",
"telephone_number": "703-750-0108",
"fax_number": "703-750-0230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHUAIB MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A",
"authorized_official_last_name": "ABBASI",
"authorized_official_first_name": "MUSTAFA",
"authorized_official_middle_name": "AHMED",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "703-750-0108",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "VA",
"license": "0101054694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.