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Individual

DR. NAYAN SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
(301) 373-7400
(301) 373-6400
Mailing address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0025521
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110205824
MEDICARE RAILROAD
MD
05
329991100
MD
Enumeration date
07/19/2006
Last updated
05/06/2009
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