Individual
KRUPA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
900 S CATON AVENUE, BALTMORE, MD 21229
(410) 368-6000
Mailing address
5005 KEMSLEY ROAD, ROSEDALE, MD 21237
(443) 851-5425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003819
MD
Other
Enumeration date
11/13/2008
Last updated
01/30/2023
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