Provider Demographics
NPI:1528865888
Name:KABIRZAD, SHABIR AHMAD
Entity type:Individual
Prefix:
First Name:SHABIR AHMAD
Middle Name:
Last Name:KABIRZAD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 OCALA WAY
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-4648
Mailing Address - Country:US
Mailing Address - Phone:540-479-5026
Mailing Address - Fax:
Practice Address - Street 1:24 OCALA WAY
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-4648
Practice Address - Country:US
Practice Address - Phone:540-479-5026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter