Organization
SHAH ASSOCIATES MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVEN DESAI (CFO)
(301) 373-7900
Entity
Organization
Contact information
Practice address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
(301) 373-7900
(301) 373-6900
Mailing address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
(301) 373-7900
(301) 373-6900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12998
AETNA HMO SPECIALIST
MD
01
—
354ASH
BCBS CAREFIRST POS SPEC
MD
01
—
3558
BCBS DC FED
MD
01
—
488609
AETNA HMO
MD
01
—
5327523
AETNA ALL OTHERS
MD
01
—
8317462
AETNA ALL OTHERS SPE
MD
01
—
CG9362
MEDICARE RAILROAD
MD
01
—
H888SH
BCSB CAREFIRST TOWSON
MD
Enumeration date
09/13/2006
Last updated
10/15/2007
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