Fiona Shaw, | |
8316 Arlington Blvd Ste 400, Fairfax, VA 22031-5216 | |
(703) 832-9176 | |
Not Available |
Full Name | Fiona Shaw |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 8316 Arlington Blvd Ste 400, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710341870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 0101275785 (Virginia) | Primary |
Entity Name | Derm Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649271354 PECOS PAC ID: 4688653306 Enrollment ID: O20190531001893 |
Mailing Address | Practice Location Address |
---|---|
Fiona Shaw, 5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826 Ph: (214) 420-0650 | Fiona Shaw, 8316 Arlington Blvd Ste 400, Fairfax, VA 22031-5216 Ph: (703) 832-9176 |
Benjamin Behnoud Nia, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr Ste 302, Fairfax, VA 22033 Phone: 703-648-2488 Fax: 703-648-2489 | |
Dr. Caleb Lee, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10100 Fairfax Blvd, Fairfax, VA 22030 Phone: 703-679-1876 | |
Dr. Monica Nabil Saleh Valentin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11351 Random Hills Rd, Fairfax, VA 22030 Phone: 443-351-3376 | |
Dr. Kavya Desai, MD, MPH Dermatology Medicare: Medicare Enrolled Practice Location: 8316 Arlington Blvd Ste 400, Fairfax, VA 22031 Phone: 703-641-0083 Fax: 703-641-0085 | |
Dr. Kathleen Ellison, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8316 Arlington Blvd Ste 400, Fairfax, VA 22031 Phone: 703-641-0083 Fax: 703-641-0085 | |
Etsubdenk Mezemir Ajebo, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4211 Fairfax Corner Ave E # E, Fairfax, VA 22030 Phone: 703-280-1372 | |
Jack Michael Costa, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3650 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033 Phone: 703-391-2516 Fax: 703-476-8244 |