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Organization
SHAH ASSOCIATES MD LLC
Active
Organization
SHAH ASSOCIATES MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE HOLMAN (CLINIC COORDINATOR)
(301) 373-7911
Entity
Organization
Contact information
Practice address
CHARLOTTE HALL MEDICAL CENTER, 37767 MARKET DR. 2ND FLOOR, CHARLOTTE HALL, MD 20622
(130) 188-4732
(301) 884-8663
Mailing address
24035 THREE NOTCH RD, P O BOX 640, HOLLYWOOD, MD 20636-4871
(301) 373-7911
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
09/11/2025
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