Provider Demographics
NPI:1104623289
Name:SHARIFI, MUZHDA WASEEQ
Entity type:Individual
Prefix:
First Name:MUZHDA
Middle Name:WASEEQ
Last Name:SHARIFI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12611 TOLMAN RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1733
Mailing Address - Country:US
Mailing Address - Phone:480-249-2335
Mailing Address - Fax:
Practice Address - Street 1:12611 TOLMAN RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1733
Practice Address - Country:US
Practice Address - Phone:480-249-2335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter