Saureen Shah, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13272 Issued in MD

Practice address

806 Landmark Dr Ste 124
Glen Burnie, MD 21061-4966

Phone

(410) 768-3288

Fax

(410) 768-1629

NPI assigned

Sep 26, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1578713442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 LANDMARK DR STE 124",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614966",
            "telephone_number": "410-768-3288",
            "fax_number": "410-768-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 LANDMARK DR STE 124",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614966",
            "telephone_number": "410-768-3288",
            "fax_number": "410-768-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAUREEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayinnah Shabazz, M.D.
• Esther Opemipo Shadare, DNP
• Asma Roohi Shah, R.PH., MBA.
• Manish H Shah
• Rizwan Akhtar Shah, R.PH.,M.S.
• Shahab a Malik MD, LLC.
• Naomi N Shaikh, MD
• Jamilah Malak Shakir-Reese, MD
• Bhavana Sharma, M.D.
• Sabita Sharma, M.D.

• General Practice Dentistry in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.