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SHAH ASSOCIATES MD LLC NPI 1629275557


NPI Information

NPI: 1629275557
Provider Name: SHAH ASSOCIATES MD LLC
Classification: Internal Medicine - 207RA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
22576 MACARTHUR BLVD STE 354
BRETON MEDICAL CENTER
CALIFORNIA, MD
ZIP 20619
Phone: (301) 737-0500
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SHAH ASSOCIATES MD LLC is an adolescent medicine internal medicine in California, MD. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. SHAH ASSOCIATES MD LLC NPI is 1629275557. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22576 MACARTHUR BLVD STE 354
BRETON MEDICAL CENTER
CALIFORNIA, MD
ZIP 20619-093
Phone: (301) 737-0500
Fax: (301) 737-3351

The provider's authorized official is Susie Holman .
The authorized official title is Clinical Coordinator and has the following contact phone number (301) 373-7911.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0000XInternal MedicineAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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