Individual
NEELOFUR Q SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4901 TELSA DR, SUITE A & B, BOWIE, MD 20715-4406
(301) 805-6860
(301) 805-0755
Mailing address
7227 HANOVER PKWY, STE A, GREENBELT, MD 20770-2025
(888) 846-5527
(607) 324-2369
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0034818
MD
2085R0001X
Radiation Oncology Physician
MD17408
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037711200
—
MD
01
—
1048186
FIRST HEALTH
MD
01
—
2128955
MAMSI
MD
01
—
238078
AMERIGROUP
MD
01
—
2400218 03
UNITED HC/AMERICHOICE
MD
01
—
242714
KAISER PERMANENTE
MD
01
—
29020013
CAREFIRST BC/BS
DC
01
—
3465417
AETNA HMO
MD
01
—
4255520
AETNA PPO
MD
01
—
4578
ELDER HEALTH
MD
01
—
5519626
CCN
MD
01
—
603327-04
CAREFIRST BC/BS
MD
01
—
668810
NATIONAL CAPITOL PPO
DC
01
—
7734440
CIGNA
MD
Enumeration date
07/10/2006
Last updated
06/30/2016
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