Mohammad Shahim Formoly, CSA
NPI 1992104954 · Surgical Assistant · Fairfax, VA
Mohammad Shahim Formoly, CSA is a Surgical Assistant provider in Fairfax, VA (NPI 1992104954).
Provider details
- NPI number
- 1992104954
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4160
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-08-15
- Last updated
- 2018-09-06
Frequently asked questions
- What is Mohammad Shahim Formoly's NPI number?
- Mohammad Shahim Formoly's National Provider Identifier (NPI) is 1992104954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mohammad Shahim Formoly's specialty?
- Mohammad Shahim Formoly is listed in the NPPES registry with a primary specialty of Surgical Assistant (Technologists, Technicians & Other Technical Service Providers).
- Where is Mohammad Shahim Formoly located?
- Mohammad Shahim Formoly's practice location on file with NPPES is 12011 Lee Jackson Memorial Hwy Ste 501, Fairfax, VA 22033.
- What is Mohammad Shahim Formoly's phone number?
- The practice phone number listed in the NPPES registry for Mohammad Shahim Formoly is (703) 349-1379.
- Is Mohammad Shahim Formoly's NPI active?
- Yes — Mohammad Shahim Formoly's NPI (1992104954) is active in the NPPES registry as of the last update on 2018-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.