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Individual

MS. NEELAM SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
6785 BUSINESS PKWY, ELKRIDGE, MD 21075-6353
(410) 401-5485
Mailing address
8771 SUSINI DR, LAUREL, MD 20723-1225
(732) 801-6617

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024168562
VA
363LF0000X
Family Nurse Practitioner
Primary
R225940
MD
363LF0000X
Family Nurse Practitioner
RN1019757
DC

Other

Enumeration date
06/24/2010
Last updated
04/17/2017
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