Individual
DR. DIPAK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SHANTI MEDICAL CENTER DIPAK SHAH, MD, 26840 POINT LOOKOUT ROAD, LEONARDTOWN, MD 20650
(301) 373-7900
(301) 373-6900
Mailing address
SHAH & ASSOCIATES, LLC, P.O. BOX 640, HOLLYWOOD, MD 20636
(301) 373-7900
(301) 373-6900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0054104
MD
2084P0800X
Psychiatry Physician
Primary
D0054104
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149802900
—
MD
Enumeration date
06/26/2006
Last updated
01/18/2022
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