Organization
SHAH ASSOCIATES MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE HOLMAN (CLINICAL COORDINATOR)
(301) 373-7911
Entity
Organization
Contact information
Practice address
26840 POINT LOOKOUT RD, SHANTI MEDICAL CENTER, LEONARDTOWN, MD 20650
(301) 475-5577
(301) 475-7419
Mailing address
24035 THREE NOTCH RD, P O BOX 640, HOLLYWOOD, MD 20636-4871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
09/11/2025
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