Fayaz a. Shawl, MD, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D0022639 Issued in MD

Legal business name

FAYAZ A. SHAWL, MD, PA

Practice address

7620 Carroll Ave
Suite 200
Takoma Park, MD 20912-6387

Phone

(301) 891-8570

Fax

(301) 891-0630

NPI assigned

Feb 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fayaz A Shawl, M.D.NPI 1265482368

Title

Owner

Phone

(301) 891-8570

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fayaz A Shawl, M.D.

  • Specialist
  • Takoma Park, MD
  • NPI 1265482368

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1154599967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 CARROLL AVE",
            "address_2": "SUITE 200",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126387",
            "telephone_number": "301-891-8570",
            "fax_number": "301-891-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 CARROLL AVE",
            "address_2": "SUITE 200",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126387",
            "telephone_number": "301-891-8570",
            "fax_number": "301-891-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYAZ A. SHAWL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SHAWL",
        "authorized_official_first_name": "FAYAZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-891-8570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0022639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793851900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1154599967",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Gaille Fankep Djomo
• Ayan Saleh Farah, M.D.
• Jackelyn R Farrell, P.A.
• Maren Farris, MSED BCBA
• Oluwatosin Fashola
• Gary Ross Fennel, PA-C
• Kanan Dominica Lucy Fernandes, CRNP
• Gorgonia Villalon Ferrer, MD
• Firstchoice Medical Services LLC
• Sarah J. Fisher

• Medical Specialty Clinic/Center in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.