# SHAH ASSOCIATES MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215114749
- **Authorized official:** DEVEN DESAI (CFO)
- **Authorized official phone:** (301) 373-7900

## Contact information

- **Practice address:** 23415 THREE NOTCH RD \# STORE50, CALIFORNIA, MD 20619-4017
- **Practice address phone:** (301) 863-8605
- **Mailing address:** 24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
- **Mailing address phone:** (301) 373-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0002975 | MD | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 01/28/2008