Individual
DR. ELIZABETH F SHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0044305
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003
CAREFIRST BCBS
DC
01
—
3377019
AETNA HMO
MD
01
—
53083103
CAREFIRST BCBS
MD
01
—
5886085
AETNA PPO
MD
Enumeration date
12/27/2005
Last updated
10/18/2007
Update your record
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