Shah Dermatology LLC

NPI #1457164923 in California, Maryland

Provider Information

NPI Number: 1457164923
Entity Type: Organization
Organization Name: Shah Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: Jan 29, 2025
Last Updated: Jan 29, 2025

Practice Location

Address: 22590 SHADY CT
City: California
State: Maryland
ZIP Code: 20619-5009
Phone: (301) 994-8010

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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