Organization
SHAH DERMATOLOGY LLC
Active
Other names
Shah Dermatology LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NORRIS (CREDENTIALING COORDINATOR)
(301) 373-7318
Entity
Organization
Contact information
Practice address
22590 SHADY CT, CALIFORNIA, MD 20619-5009
(301) 994-8010
(301) 373-9197
Mailing address
PO BOX 640, HOLLYWOOD, MD 20636-0640
(301) 994-8010
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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