Active NPI
Shah Associates MD LLC
- Internal Medicine Physician
- Hollywood, MD
National Provider Identifier
1912002452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SHAH ASSOCIATES MD LLC
- Practice address
- 24035 Three Notch Rd
Hollywood, MD 20636-4871 - Phone
- (301) 373-7900
- Fax
- (301) 373-6900
- NPI assigned
- Sep 13, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
24035 Three Notch Rd
Hollywood, MD 20636-4871
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3558 | Other | MD | BCBS DC FED |
| 354ASH | Other | MD | BCBS CAREFIRST POS SPEC |
| 354ASH | Other | MD | BCBS CAREFIRST TOWSON SPE |
| 12998 | Other | MD | AETNA HMO SPECIALIST |
| 3558 | Other | MD | BCBS CAREFIRST |
| H888SH | Other | MD | BCSB CAREFIRST TOWSON |
| 5327523 | Other | MD | AETNA ALL OTHERS |
| H888SH | Other | MD | BCBS CAREFIRST POS |
| H888SH | Other | MD | BCBS MD |
| 8317462 | Other | MD | AETNA ALL OTHERS SPE |
| 354ASH | Other | MD | BCBS MD SPECIALIST |
| 488609 | Other | MD | AETNA HMO |
| H888SH | Other | MD | BCBS OF ILLINOIS |
| CG9362 | Other | MD | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
23415 Three Notch Rd
Ste 51
California, MD 20619
Phone (301) 737-7800
22576 MacArthur Blvd
Ste 354
California, MD 20619
Phone (301) 737-0500
9131 Piscataway Rd
Ste 610
Clinton, MD 20735
Phone (301) 868-2106
24035 Three Notch Rd
#J
Hollywood, MD 20636
22335 Exploration Dr
Ste 1030
Lexington Pk, MD 20653
Phone (301) 863-7041
225 Town Square Dr
Ste 3
Lusby, MD 20657
Phone (410) 231-0488
28103 Three Notch Rd
Ste 101
Mechanicsville, MD 20659
Phone (301) 884-4666
12070 Old Line Ctr
Ste 103
Waldorf, MD 20602
Phone (301) 705-7870
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- California, MD
- NPI 1932129574
-
- Family Nurse Practitioner
- Fairfax, VA
- NPI 1144691338
-
- Internal Medicine Physician
- Springfield, VT
- NPI 1558350132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192406400000",
"number": "1912002452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364871",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900"
},
{
"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",
"fax_number": "301-373-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAH ASSOCIATES MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2007-10-15",
"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": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DC FED",
"identifier": "3558",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CAREFIRST POS SPEC",
"identifier": "354ASH",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CAREFIRST TOWSON SPE",
"identifier": "354ASH",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO SPECIALIST",
"identifier": "12998",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CAREFIRST",
"identifier": "3558",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCSB CAREFIRST TOWSON",
"identifier": "H888SH",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ALL OTHERS",
"identifier": "5327523",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CAREFIRST POS",
"identifier": "H888SH",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MD",
"identifier": "H888SH",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ALL OTHERS SPE",
"identifier": "8317462",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MD SPECIALIST",
"identifier": "354ASH",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "488609",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS",
"identifier": "H888SH",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CG9362",
"state": "MD"
}
],
"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 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.