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Individual

MAUNANK R SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 E SARATOGA ST, APT 905, BALTIMORE, MD 21202-3512
(404) 247-3576
Mailing address
3108 FOSTER AVE, BALTIMORE, MD 21224-3931
(410) 350-9513

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
T2681
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
418284700
MD
Enumeration date
07/13/2007
Last updated
08/17/2010
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