Provider Demographics
NPI:1760636229
Name:SHIFERAN, BERHANE M (DC)
Entity type:Individual
Prefix:DR
First Name:BERHANE
Middle Name:M
Last Name:SHIFERAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 MAPLE AVE WEST
Mailing Address - Street 2:#231
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180
Mailing Address - Country:US
Mailing Address - Phone:703-538-3830
Mailing Address - Fax:703-538-3831
Practice Address - Street 1:150 LITTLE FALLS ST.
Practice Address - Street 2:SUITE 205
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046
Practice Address - Country:US
Practice Address - Phone:703-538-3830
Practice Address - Fax:703-538-3831
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556430111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor