Nova Spine Center LLC

NPI #1598454381 in Sterling, Virginia

Provider Information

NPI Number: 1598454381
Entity Type: Organization
Organization Name: Nova Spine Center LLC
Primary Specialty: Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Enumeration Date: May 5, 2023
Last Updated: May 5, 2025

Practice Location

Address: 21351 GENTRY DR STE 125
City: Sterling
State: Virginia
ZIP Code: 20166-8511
Phone: (410) 599-9872

Authorized Official

Name: MARK SHASTI, MD
Title: CEO
Phone: (410) 599-9872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X	Primary

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