Individual
ATUL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 HOSPITAL RD, STE. 303, PRINCE FREDERICK, MD 20678-4019
(410) 535-4333
(410) 535-0495
Mailing address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0025519
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309941500
—
MD
Enumeration date
07/19/2006
Last updated
07/08/2007
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