1812 PLAZA DR
WINCHESTER, VA 22601-6365 US PECOS Enrolled
Overview
Shabana Firdous is a Psychiatrist in the WINCHESTER area and has over 36 years of experience. Shabana Firdous primary office location is at 1812 PLAZA DR and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1988 The NPI number is 1205849411 and the information was updated approximately 11 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 0101232562 | VA |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 010164257 | VA |
| ANTHEM | 153450 | - |
| Taxonomy | State | Primary? |
|---|---|---|
| Psychiatrist - Taxonomy Code 2084P0800X | VA | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050209000173 |
| PECOS Individual PAC ID: | 4789635517 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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