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Individual

MUSHTAQ SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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
D0021843
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
794011400
MD
Enumeration date
10/27/2006
Last updated
01/23/2014
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