NPI 1023821592
Shah Dermatology LLC
Practice location
- Address
- 10 Saint Patrick's Drive Specialties II 3rd Floor, Waldorf, MD 20603-4572
- Phone
- (240) 448-2970
- Fax
- (301) 638-7257
- Mailing address
- PO Box 640, Hollywood, MD 20636-0640
Authorised official
- Name
- Melissa Norris
- Title
- Credentialing Coordinator
- Phone
- (301) 373-7318
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1023821592
- Entity type
- Organization
- NPI issued
- 29 Jan 2025
- Record last updated
- 4 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.