Individual provider · Type 1 NPI

Shabnam Prophet, PA-C

Physician Assistant · Leesburg, VA

NPI number 1912446576 Active

Practice location

44045 Riverside Pkwy
Leesburg, VA 20176-5101

Other practice locations

  • 2300 Opitz Blvd, Woodbridge, VA 22191-3311 · (703) 523-1000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110-005674 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1912446576

Shabnam Prophet, PA-C's National Provider Identifier is 1912446576, issued on Feb 15, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Leesburg, VA. The record was last updated on Jan 23, 2020.