Organization
SHAH ASSOCIATES MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE HOLMAN (CLINICAL COORDINATOR)
(301) 373-7911
Entity
Organization
Contact information
Practice address
22576 MACARTHUR BLVD STE 354, BRETON MEDICAL CENTER, CALIFORNIA, MD 20619-3093
(301) 737-0500
(301) 737-3351
Mailing address
24035 THREE NOTCH RD, P O BOX 640, HOLLYWOOD, MD 20636-4871
(301) 737-0500
(301) 737-3351
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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