Doctor Name: | DR. DIPAK SHAH |
NPI Number: | 1598792731 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | D0054104 |
Business Practice Address: | Shanti Medical Center Dipak Shah, Md 26840 Point Lookout Road Leonardtown, MD - 20650 |
Business Phone Number: | 3013737900 |
Business Fax Number: | 3013736900 |
Mailing Address: | Shah & Associates, Llc, P.o. Box 640 HOLLYWOOD |
State: | MD |
Postal Code: | 20636 |
Phone Number: | 3013737900 |
Fax Number: | 3013736900 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D0054104 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |