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Individual
ANISH P SHAH
Active
Individual
ANISH P SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0061027
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03010002
CARE FIRST BCBS
DC
05
—
038049200
—
DC
05
—
410276200
—
MD
01
—
89511901
CARE FIRST BCBS
MD
01
—
P00376508
RR MEDICARE
MD
01
—
P00422892
RRMCR DC
DC
Enumeration date
07/13/2006
Last updated
06/02/2011
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