Provider Demographics
NPI:1346049087
Name:AKBARI, SHABANA
Entity type:Individual
Prefix:
First Name:SHABANA
Middle Name:
Last Name:AKBARI
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 1:12048 GREYWING SQ APT C1
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-1839
Mailing Address - Country:US
Mailing Address - Phone:571-436-5753
Mailing Address - Fax:
Practice Address - Street 1:12048 GREYWING SQ APT C1
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1839
Practice Address - Country:US
Practice Address - Phone:571-436-5753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter