Individual provider · Type 1 NPI

Issam Mahmoud Shebaro, MD

Obstetrics & Gynecology Physician · Reston, VA

NPI number 1023176013 Active

Practice location

11445 Sunset Hills Road
Reston, VA 20190-5276

Call (703) 709-1500 Map

Fax (703) 709-1711

Mailing address

2101 E Jefferson St Ppqa Medicare Compliance Unit 6 W, Kaiser Permanente Midatlantic Permanente Medical Grp Pc
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X0101045171 (VA)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1023176013

Issam Mahmoud Shebaro, MD's National Provider Identifier is 1023176013, issued on Dec 4, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Reston, VA. The record was last updated on Nov 18, 2011.