Individual
ILA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37767 MARKET DR, CHARLOTTE HALL, MD 20622-3188
(301) 884-7330
(301) 884-8663
Mailing address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0015031
MD
Other
Enumeration date
07/19/2006
Last updated
10/15/2007
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