Provider Demographics
NPI:1578654091
Name:SHIRALI, SHOBHA (MD)
Entity type:Individual
Prefix:
First Name:SHOBHA
Middle Name:
Last Name:SHIRALI
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 1:6401 WESTERN STAR RUN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1255
Mailing Address - Country:US
Mailing Address - Phone:443-996-2392
Mailing Address - Fax:
Practice Address - Street 1:80 E JEFFERSON ST STE 300A
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3566
Practice Address - Country:US
Practice Address - Phone:443-996-2392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012775132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry