Manish H Shah (NPI# 1750372629, PAC ID# 2062486434) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1750372629 |
| PAC ID by PECOS | 2062486434 |
| Professional Enrollment ID | I20040823000097 |
| Full Name | Manish H Shah |
| Organization Legal Name | MEDSTAR HEART INSTITUTE LLC |
| Address |
163 Thomas Johnson Dr Frederick MD 21702-4673 |
| Phone Number | 2405663132 |
| Gender | M |
| Credential | MD |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | CARDIAC ELECTROPHYSIOLOGY |
| Group Practice PAC ID | 5698932960 |
| Number of Group Practice Members | 80 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090011 | MEDSTAR WASHINGTON HOSPITAL CENTER |
| 210005 | FREDERICK MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 110 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4418 | 3018775677 | MEDSTAR HEART INSTITUTE LLC |
| 163 Thomas Johnson Dr, Frederick, MD 21702-4673 | 2405663132 | MEDSTAR HEART INSTITUTE LLC |
| 8700 Sudley Rd, Manassas, VA 20110-4418 | 7032087257 | MEDSTAR HEART INSTITUTE LLC |
| 110 Irving St Nw, Washington, DC 20010-3017 | 2028772851 | MEDSTAR HEART INSTITUTE LLC |
| Organization Legal Name | MEDSTAR HEART INSTITUTE LLC |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maheswora N Baidya | Cardiovascular Disease (cardiology) | Medstar Heart Institute LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Alaa O Alabdul Razzaq | Internal Medicine | Medstar Heart Institute LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Manavotam Singh | Internal Medicine | Medstar Heart Institute LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Christian C Shults | Cardiac Surgery | Medstar Heart Institute LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Hayder Dhafir Hashim | Interventional Cardiology | Medstar Heart Institute LLC | 106 Irving St Nw, Washington, DC 20010-2927 |
| William O Suddath | Cardiovascular Disease (cardiology) | Medstar Heart Institute LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Carolina Valdiviezo Schlomp | Cardiovascular Disease (cardiology) | Medstar Heart Institute LLC | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 |
| Alexander I Papolos | Cardiovascular Disease (cardiology) | Medstar Heart Institute LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Edward V Platia | Cardiac Electrophysiology | Medstar Heart Institute LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Ron Waksman | Interventional Cardiology | Medstar Heart Institute LLC | 110 Irving St Nw, Washington, DC 20010-3017 |
| Street Address |
163 THOMAS JOHNSON DR |
| City | FREDERICK |
| State | MD |
| Zip | 21702-4673 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia L Wise | Qualified Audiologist | Centers for Advanced Ent Care LLC | 163 Thomas Johnson Dr, Suite H, Frederick, MD 21702-4673 |
| Kenneth Henry | Qualified Audiologist | Centers for Advanced Ent Care LLC | 163 Thomas Johnson Dr, Suite H, Frederick, MD 21702-4673 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kumudhini Hendrix | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Thomas S Davis | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Debra L Clise | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Lise Ricotta Asaro | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Susan M Allig | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Alan S Bronstein | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Jennifer Lyn Chen | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Dawn Renee Gill | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Allen Gilson | Pulmonary Disease | 6695 Stone Ridge Ct, Frederick, MD 21702-2989 | |
| Gary E Schreiber | Chiropractic | 1446 W Patrick St, Suite 14, Frederick, MD 21702-3277 | |
| Find all physicians in zip 21702 | |||
| City | FREDERICK |
| Zip Code | 21702 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | FREDERICK + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.