Organization
MUSHTAQ A SHAH MD PA
Active
Other names
mushtaq shah
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUSHTAQ A SHAH MD (OWNER/PHYSICIAN)
(301) 220-0606
Entity
Organization
Contact information
Practice address
7227 HANOVER PKWY, STE A, GREENBELT, MD 20770-2025
(301) 220-0606
(301) 513-9049
Mailing address
7227 HANOVER PKWY, STE A, GREENBELT, MD 20770-2025
(301) 220-0606
(301) 513-9049
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D21843
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043396633
INDIVIDUAL NPI
DC
01
—
12140001
CAREFIRST
DC
Enumeration date
10/01/2012
Last updated
01/23/2014
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