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Individual

DR. MITESH V SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
8926 WOODYARD RD STE 602, CLINTON, MD 20735-4235
(301) 868-9414
(301) 868-6055
Mailing address
8926 WOODYARD RD STE 602, CLINTON, MD 20735-4235
(301) 868-9414
(301) 868-6055

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO034528
DC
207RN0300X
Nephrology Physician
0102204859
VA
207RN0300X
Nephrology Physician
Primary
H0083175
MD

Other

Enumeration date
03/30/2012
Last updated
04/16/2026
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