Organization Active NPI

Shah Associates MD LLC

  • Internal Medicine Physician
  • Hollywood, MD
National Provider Identifier
1912002452
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

22576 MacArthur Blvd
Ste 354
California, MD 20619
Phone (301) 737-0500

23415 Three Notch Rd
Ste 51
California, MD 20619
Phone (301) 737-7800

952 E Swan Creek Rd
Ste A
Fort Washington, MD 20744

11701 Livingston Rd
Ste 306
Ft Washington, MD 20744

24035 Three Notch Rd
#J
Hollywood, MD 20636

22335 Exploration Dr
Lexington Park, MD 20653
Phone (301) 863-7041

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.

Verify at the official NPI Registry.