NPIMap

Organization Active NPI

Shah Associates MD LLC

  • Adolescent Medicine (Internal Medicine) Physician
  • California, MD
National Provider Identifier
1396943247
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
Legal business name
SHAH ASSOCIATES MD LLC
Practice address
23263 By the Mill Road
By the Mill Road Medical Center
California, MD 20619
Phone
(301) 863-5835
Fax
(301) 863-5489
NPI assigned
Jul 3, 2007
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
Susie Holman
Title
Clinical Coordinator
Phone
(301) 373-7911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0000X Primary

Addresses

Primary practice location

23263 By the Mill Road
By the Mill Road Medical Center
California, MD 20619

Mailing address

24035 Three Notch Rd
P O Box 640
Hollywood, MD 20636-4871

National Provider Directory

National Provider Directory
Tax ID family
Shah Associates MD LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396943247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "address_2": "P O BOX 640",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23263 BY THE MILL ROAD",
            "address_2": "BY THE MILL ROAD MEDICAL CENTER",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "20619",
            "telephone_number": "301-863-5835",
            "fax_number": "301-863-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH ASSOCIATES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "301-373-7911"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in California, 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.