Provider Demographics
NPI:1386937688
Name:SHARIFI, AMAL (MD)
Entity type:Individual
Prefix:DR
First Name:AMAL
Middle Name:
Last Name:SHARIFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8221 WILLOW OAKS CORPORATE DR STE 4-420
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4512
Mailing Address - Country:US
Mailing Address - Phone:703-289-7599
Mailing Address - Fax:703-204-9001
Practice Address - Street 1:8221 WILLOW OAKS CORPORATE DR STE 4-420
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4512
Practice Address - Country:US
Practice Address - Phone:703-289-7599
Practice Address - Fax:703-204-9001
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2023-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01012738122084P0800X
AZR726652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry