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1548257769

NPI Code Detail

MEDICARE: MRS. GITA K SHAH

MEDICARE: MRS. GITA K SHAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	D0020251	MD
2	207RI0200X	Infectious Disease Physician	M07210	MD
3	207RI0200X	Infectious Disease Physician	AS9323522	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50310001	OTHER	MD	BCDC
2	86305	OTHER	MD	MDIPA

General Provider Information

NPI Number	:	1548257769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GITA K SHAH

Provider Business Mailing Address
First Line	:	7350 VAN DUSEN RD
Second Line	:	SUITE 220
City	:	LAUREL
State	:	MD
Zip	:	20707-5268
Country	:	US
Telephone Number	:	301-604-8000
Fax Number	:	301-604-4406

Provider Business Practice Location Address
First Line	:	7350 VAN DUSEN RD
Second Line	:	SUITE 220
City	:	LAUREL
State	:	MD
Zip	:	20707-5268
Country	:	US
Telephone Number	:	301-604-8000
Fax Number	:	301-604-4406

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	07/08/2007

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Directions to “ MRS. GITA K SHAH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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