Organization
SHAH & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAK SHAH MD (OWNER/PRESIDENT)
(301) 475-5577
Entity
Organization
Contact information
Practice address
130 HOSPITAL RD STE 300, PRINCE FREDERICK, MD 20678-4057
(410) 535-4333
(410) 535-3260
Mailing address
PO BOX 603, LEONARDTOWN, MD 20650-0603
(301) 475-5577
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422844800
—
MD
Enumeration date
08/15/2023
Last updated
11/27/2023
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