Shah Dermatology LLC

NPI #1023821592 in Waldorf, Maryland

Provider Information

NPI Number: 1023821592
Entity Type: Organization
Organization Name: Shah Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: Jan 29, 2025
Last Updated: Feb 4, 2025

Practice Location

Address: 10 SAINT PATRICK'S DRIVE
Address 2: SPECIALTIES II 3RD FLOOR
City: Waldorf
State: Maryland
ZIP Code: 20603-4572
Phone: (240) 448-2970

Authorized Official

Name: MELISSA NORRIS
Title: CREDENTIALING COORDINATOR
Phone: (301) 373-7318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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