NPIMap

Organization Active NPI

Navin C Shah MD PA

  • Urology Physician
  • Riverdale, MD
National Provider Identifier
1275612731
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0016138 Issued in MD
Legal business name
NAVIN C SHAH MD PA
Practice address
4404 Queensbury Rd
#240
Riverdale, MD 20737
Phone
(301) 699-3192
Fax
(301) 779-0082
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Navin C Shah, MDNPI 1346225000
Title
President
Phone
(301) 699-3192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X D0016138 MD Primary

Addresses

Primary practice location

4404 Queensbury Rd
#240
Riverdale, MD 20737

Mailing address

4404 Queensbury Rd
#240
Riverdale, MD 20737
Phone (301) 699-3192

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275612731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 QUEENSBURY RD",
            "address_2": "#240",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "20737",
            "telephone_number": "301-699-3192",
            "fax_number": "301-779-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 QUEENSBURY RD",
            "address_2": "#240",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "20737",
            "telephone_number": "301-699-3192",
            "fax_number": "301-779-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVIN C SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NAVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-699-3192",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "MD",
            "license": "D0016138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.