Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mohammad Shahim Formoly, CSA

Surgical Assistant in Fairfax, VA · enumerated 2014 · practices at Fairfax Medical Associates,LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992104954

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Registry record

Entity type Individual (Type 1)

Name Mohammad Shahim Formoly

Credential CSA

Sex Male

Practice address Fairfax, VA, 22033

Phone (703) 349-1379

Enumeration date Aug 15, 2014

Last updated in NPPES Sep 6, 2018

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

246ZC0007X Surgical Assistant Technologists, Technicians & Other Technical Service Providers · License 4160 Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Mohammad Shahim Formoly?

The National Provider Identifier (NPI) for Mohammad Shahim Formoly is 1992104954, a Type 1 (individual) record in the CMS NPPES registry.

Where does Mohammad Shahim Formoly practice?

The practice location on file with NPPES is in Fairfax, VA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-06.