Active NPI
Shah Associates MD LLC
- Ambulatory Surgical Clinic/Center
- Hollywood, MD
National Provider Identifier
1871744805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A1234R
- Legal business name
- SHAH ASSOCIATES MD LLC
- Practice address
- 24035 Three Notch Rd
Hollywood, MD 20636-4871 - Phone
- (301) 373-7900
- NPI assigned
- Oct 8, 2008
- Last updated
- Oct 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deven Desai
- Title
- Cfo
- Phone
- (301) 373-7900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | A1234R | MD | Primary |
Addresses
Primary practice location
24035 Three Notch Rd
Hollywood, MD 20636-4871
Mailing address
24035 Three Notch Rd
P O Box 640
Hollywood, MD 20636-4871
Phone (301) 373-7900
National Provider Directory
National Provider Directory- Tax ID family
- Shah Associates MD LLC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1871744805",
"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",
"telephone_number": "301-373-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364871",
"telephone_number": "301-373-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAH ASSOCIATES MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "DEVEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "301-373-7900"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MD",
"license": "A1234R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.