Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHADI AYYAS, MD
Active Sole ProprietorSHADI AYYAS, MD is a General Practice healthcare provider located in FAIRFAX, Virginia. NPI 1629490172 is currently active in the NPPES registry. Verify at CMS.
General Practice · FAIRFAX, VA
Registration Details
- NPI Number
- 1629490172
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2014 (12.570363804162 yrs)
- Last Updated
- Oct 16, 2025
- Licenses
-
0101255466 (VA)0101255466 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10721 MAIN ST STE 204FAIRFAX, VA, 220306902Browse VA providers · Browse ZIP 22030
- Phone
- 2027663019
- Fax
- 5714302311
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Internal Medicine
Other General Practice Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DR. THANH MINH DO | D.O. | 1902854250 |
| MS. HODA K MAKKAWI | M.D. | 1144265216 |
| DR. JAY MITCHELL FEDER | MD | 1417989682 |
| ANOUSHIRVAN REZAYE SARRAF | MD | 1134303423 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.