Basic Information
Provider Information
NPI: 1689841033
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARYAL
FirstName: SHAMBHU
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 37174
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212973174
CountryCode: US
TelephoneNumber: 5714235699
FaxNumber: 5714235698
Practice Location
Address1: 3300 GALLOWS RD
Address2:  
City: FALLS CHURCH
State: VA
PostalCode: 220423307
CountryCode: US
TelephoneNumber: 7037762986
FaxNumber: 7037763515
Other Information
ProviderEnumerationDate: 05/14/2008
LastUpdateDate: 05/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0101261967VAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X2013-00933NCN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200X0101261967VAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200X42775KYN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200X2013-00933NCN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001X42775KYN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001X2013-00933NCN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001X0101261967VAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


Home