SHAH ASSOCIATES MD LLC (NPI# 1629275557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629275557 |
| Entity Type | Organization |
| Organization Name | SHAH ASSOCIATES MD LLC |
| Practice Address |
22576 Macarthur Blvd Ste 354 Breton Medical Center California MD 20619-3093 |
| Mailing Address |
24035 Three Notch Rd P O Box 640 Hollywood MD 20636-4871 |
| Practice Telephone | 3017370500 |
| Practice Fax Number | 3017373351 |
| Mailing Telephone | 3017370500 |
| Mailing Fax Number | 3017373351 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSIE HOLMAN (CLINICAL COORDINATOR) |
| Authorized Official Telephone | 3013737911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215114749 | Shah Associates Md LLC | Family Medicine | 23415 Three Notch Rd # Store50, California, MD 20619-4017 | 2008-01-28 |
| 1861690497 | Shah Associates Md LLC | Family Medicine | 281 Three Notch Rd Ste 101, Mechanicsville Medical Center, Mechanicsville, MD 20659 | 2007-07-05 |
| 1396943247 | Shah Associates Md LLC | Internal Medicine | 23263 By The Mill Road, By The Mill Road Medical Center, California, MD 20619 | 2007-07-03 |
| 1023215951 | Shah Associates Md LLC | Internal Medicine | 110 Hospital Rd Ste 303, Calvert Medical Center, Prince Frederick, MD 20678-4044 | 2007-07-03 |
| 1194923011 | Shah Associates Md LLC | Internal Medicine | 14090 H G Trueman Rd, Ste, Solomons Medical Center, Solomons, MD 20688 | 2007-07-03 |
| 1407054349 | Shah Associates Md LLC | Internal Medicine | Charlotte Hall Medical Center, 37767 Market Dr. 2nd Floor, Charlotte Hall, MD 20622 | 2007-07-03 |
| 1578761425 | Shah Associates Md LLC | Internal Medicine | Lexington Park Medical Center, 22335 Exploration Park, Lexington Park, MD 20653 | 2007-07-03 |
| 1871744805 | Shah Associates Md LLC | Clinic/Center | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2008-10-08 |
| 1013115666 | Shah Associates Md LLC | Family Medicine | 26840 Point Lookout Rd, Shanti Medical Center, Leonardtown, MD 20650 | 2007-07-05 |
| 1902004773 | Shah Associates Md LLC | Family Medicine | 24035 Three Notch Rd, Philip J Bean Medical Center, Hollywood, MD 20636-4871 | 2007-07-03 |
| Street Address |
22576 MACARTHUR BLVD STE 354 BRETON MEDICAL CENTER |
| City | CALIFORNIA |
| State | MD |
| Zip Code | 20619-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932412 | Ebony Thomas | Technician | 23560 Fdr Blvd, #402, California, MD 20619 | 2019-10-04 |
| 1538723374 | Pyramid Walden LLC | Counselor | 44871 St. Andrews Church Rd., California, MD 20619 | 2019-04-26 |
| 1902378714 | Pyramid Walden, LLC | Clinic/Center | 44863 St. Andrews Church Rd., California, MD 20619 | 2018-12-19 |
| 1073084885 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44863 St. Andrew's Church Rd, California, MD 20619 | 2018-12-06 |
| 1972099489 | Leslie Ann Gilbert | Audiologist | 23077 Three Notch Rd Ste 101, California, MD 20619 | 2018-07-09 |
| 1538575261 | Eric Ndoumbe Ndimasa | Pharmacist | 22565 Three Notch Road, California, MD 20619 | 2014-07-02 |
| 1790121861 | Oluwagbolahan Oladipo Lagoke | Pharmacist | 45482 Miramar Way, Walmart, California, MD 20619 | 2013-05-16 |
| 1831437128 | Dylan Schneider | Dentist | 23415 Three Notch Road, Suite 2003, California, MD 20619 | 2013-01-22 |
| 1659603322 | Pyramid Walden, LLC | Counselor | 44867 St. Andrews Church Road, California, MD 20619 | 2010-02-05 |
| 1376742270 | Platinum Eyes | Eyewear Supplier (Equipment, not the service) | 45315 Alton Ln, Suite 16038, California, MD 20619 | 2007-07-12 |
| Find all providers in zip 20619 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396943247 | Shah Associates Md LLC | Internal Medicine | 23263 By The Mill Road, By The Mill Road Medical Center, California, MD 20619 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093763179 | Rebecca M Gross | Internal Medicine | 8401 Connecticut Ave Ph Suite, Chevy Chase, MD 20815-5822 | 2006-05-04 |
| 1386970820 | Beniah Nwankwo | Internal Medicine | 8901 Rockville Pike, Bethesda, MD 20889-4320 | 2009-10-18 |
| 1871787077 | Bethesda Physicians PC | Internal Medicine | 8120 Woodmont Ave, Suite 320, Bethesda, MD 20814-2743 | 2007-08-30 |
| 1851482269 | Aurora Tan | Internal Medicine | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-09-28 |
| 1457457939 | Jeffrey Thompson | Internal Medicine | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2006-09-15 |
| 1972614105 | Abdolhamid Ghiladi | Internal Medicine | 7600 Osler Dr, Suite 111, Towson, MD 21204-7735 | 2006-08-31 |
| 1861432650 | Nayan Vaywala | Internal Medicine | 1130 Baltimore Blvd, Westminster, MD 21157-7098 | 2006-06-08 |
| 1336133545 | Richard Christian Habersat | Internal Medicine | 111 Mount Carmel Rd, Suite 500, Parkton, MD 21120-9706 | 2005-09-01 |
| City | CALIFORNIA |
| Zip Code | 20619 |
Please comment or provide details below to improve the information on SHAH ASSOCIATES MD LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.