| NPI | 1023821592 |
|---|---|
| Former Legal Business Name | SHAH DERMATOLOGY LLC |
| Entity Type | Organization |
| Authorized Contact | MELISSA NORRIS Credentialing Coordinator 301-373-7318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-02-04 |