Shabih Hasan MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101056360 Issued in VA

Legal business name

SHABIH HASAN MD PC

Practice address

722 Grant St
Ste. F
Herndon, VA 20170-4532

Phone

(703) 787-7638

Fax

(703) 787-7654

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Shabih Hasan, MDNPI 1205908761

Title

Owner

Phone

(703) 787-7638

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3869/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Shabih U Hasan, MD

  • Specialist
  • Herndon, VA
  • NPI 1205908761

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Zachariah Hasan, MD

  • Neurology Physician
  • Herndon, VA
  • NPI 1700414307

  DC

  Medicare reassignment Care Compare group NPD
• Tajammul Ehsan, MD

  • Neurology Physician
  • Herndon, VA
  • NPI 1760583397
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1386716512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 GRANT ST",
            "address_2": "STE. F",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704532",
            "telephone_number": "703-787-7638",
            "fax_number": "703-787-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 GRANT ST",
            "address_2": "STE. F",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704532",
            "telephone_number": "703-787-7638",
            "fax_number": "703-787-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHABIH HASAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SHABIH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-787-7638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101056360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007115873",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Senko, DNP, AGNP-BC, APRN
• Kalaimathi Senthil Kumar, DPT
• Serenity Acupuncture and Healing LLC
• Suman Sethi, DDS
• Shabach Transport, Inc.
• Mita Shah Bhagat
• Aiman Shaikh
• Raana Saira Shaikh, RPH
• Nancy Shaker
• Ashley Shamrock

• Specialist in Herndon, VA
• Providers in Herndon, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.