Organization
SHAH ASSOCIATES MD PA
Active
Parent organization
SHAH ASSOCIATES MD PA
Other names
Tri-County Endoscopy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAH ASSOCIATES MD PA
Authorized official
DR. NAYAN SHAH (MD)
(301) 373-7500
Entity
Organization
Contact information
Practice address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
(301) 373-7500
(301) 373-6500
Mailing address
PO BOX 640, HOLLYWOOD, MD 20636-0640
(301) 373-7500
(301) 373-6500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201373700
—
MD
01
—
490001599
MEDICARE RAILROAD
MD
Enumeration date
04/09/2007
Last updated
12/08/2011
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