| Farhan Shaukat, AG-ACNP | |
|
44045 Riverside Pkwy, Leesburg, VA 20176-5101 | |
| (703) 858-8074 | |
| Not Available |
| Full Name | Farhan Shaukat |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 44045 Riverside Pkwy, Leesburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043920515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 0024185362 (Virginia) | Primary |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
| Mailing Address | Practice Location Address |
|---|---|
| Farhan Shaukat, AG-ACNP 44045 Riverside Pkwy, Leesburg, VA 20176-5101 Ph: (703) 858-8074 | Farhan Shaukat, AG-ACNP 44045 Riverside Pkwy, Leesburg, VA 20176-5101 Ph: (703) 858-8074 |
Sherry Laycock, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-433-9230 Fax: 703-433-9248 | |
Quynh Tran-crockett, NP Licensed Practical Nurse Medicare: Medicare Enrolled Practice Location: 44055 Riverside Pkwy # 20176, Leesburg, VA 20176 Phone: 703-858-8600 | |
Mrs. Leda Abdulmuhin, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 19415 Deerfield Ave Ste 202, Leesburg, VA 20176 Phone: 703-865-6490 |