Provider Demographics
NPI:1053807727
Name:SHAFQAT, SARA (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SHAFQAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6286 DUNAWAY CT
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-2204
Mailing Address - Country:US
Mailing Address - Phone:540-840-6899
Mailing Address - Fax:703-804-0279
Practice Address - Street 1:1982 OPITZ BLVD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3304
Practice Address - Country:US
Practice Address - Phone:540-840-6899
Practice Address - Fax:703-804-0279
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-06
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.142349207R00000X, 208M00000X
MDD98131207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine