Individual
MIRAT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 N BROADWAY ST BLDG RM10291, BALTIMORE, MD 21287-0031
(443) 287-6489
(410) 614-9421
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
D79787
MD
Other
Enumeration date
04/27/2012
Last updated
03/18/2021
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