Active NPI
Syed Shahab
- Cardiovascular Disease Physician
- Falls Church, VA
National Provider Identifier
1689854960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101226888
- Legal business name
- SYED SHAHAB
- Practice address
- 6400 Arlington Blvd
Suite 930
Falls Church, VA 22042-2325 - Phone
- (703) 532-1700
- Fax
- (703) 532-7803
- NPI assigned
- Nov 5, 2007
- 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. Syed T Shahab, M.D.
- Title
- Director
- Phone
- (703) 532-1700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101226888 | VA | Primary |
Addresses
Primary practice location
6400 Arlington Blvd
Suite 930
Falls Church, VA 22042-2325
Mailing address
6400 Arlington Blvd
Suite 930
Falls Church, VA 22042-2325
Phone (703) 532-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010003083 | Medicaid | VA | |
| J444-0001 | Other | VA | BCBS |
Other names 1
- Vascular & Interventional Cardiology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4437 Brookfield Corporate Dr
Chantilly, VA 20151
Phone (703) 968-7277
10716 Richmond Hwy
Ste 20
Lorton, VA 22079
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1689854960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 ARLINGTON BLVD",
"address_2": "SUITE 930",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422325",
"telephone_number": "703-532-1700",
"fax_number": "703-532-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 ARLINGTON BLVD",
"address_2": "SUITE 930",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422325",
"telephone_number": "703-532-1700",
"fax_number": "703-532-7803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYED SHAHAB",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-05",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "SHAHAB",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "703-532-1700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101226888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010003083",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J444-0001",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vascular & Interventional Cardiology",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.