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Individual

DR. PALI DEDHIYA SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 614-4898
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 614-4898

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
45056
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
45057
TN
207RP1001X
Pulmonary Disease Physician
Primary
45056
MD
207RP1001X
Pulmonary Disease Physician
45057
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049034200
MD
Enumeration date
01/30/2007
Last updated
02/18/2013
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