1912002452 NPI number — SHAH ASSOCIATES MD LLC

Table of content: (NPI 1912002452)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912002452 NPI number — SHAH ASSOCIATES MD LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHAH ASSOCIATES MD LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912002452
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24035 THREE NOTCH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOLLYWOOD
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20636-4871
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-373-7900
Provider Business Mailing Address Fax Number:
301-373-6900

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24035 THREE NOTCH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLLYWOOD
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20636-4871
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-373-7900
Provider Business Practice Location Address Fax Number:
301-373-6900
Provider Enumeration Date:
09/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DESAI
Authorized Official First Name:
DEVEN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
301-373-7900

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3558 . This is a "BCBS DC FED" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 354ASH . This is a "BCBS CAREFIRST POS SPEC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 354ASH . This is a "BCBS CAREFIRST TOWSON SPE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 12998 . This is a "AETNA HMO SPECIALIST" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 3558 . This is a "BCBS CAREFIRST" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: H888SH . This is a "BCSB CAREFIRST TOWSON" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 5327523 . This is a "AETNA ALL OTHERS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: H888SH . This is a "BCBS CAREFIRST POS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: H888SH . This is a "BCBS MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 8317462 . This is a "AETNA ALL OTHERS SPE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 354ASH . This is a "BCBS MD SPECIALIST" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 488609 . This is a "AETNA HMO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: H888SH . This is a "BCBS OF ILLINOIS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: CG9362 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com