Individual
ISHAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 S PACA ST, BALTIMORE, MD 21201-1771
(410) 328-2902
Mailing address
29 S PACA ST, BALTIMORE, MD 21201-1771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0101958
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
12/11/2024
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