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General NPI Number Information
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NPI Number | 1578597845
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Entity Type | Individual
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Provider Name | NEELOFUR Q SHAH M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 4901 TELSA DR SUITE A & B
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City | BOWIE
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State | MD
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Zip | 20715-4406
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Country | US
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Telephone | 301-805-6860
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Fax | 301-805-0755
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Provider Business Mailing Address
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Address Line | 7227 HANOVER PKWY STE A
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City | GREENBELT
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State | MD
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Zip | 20770-2025
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Country | US
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Telephone | 888-846-5527
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Fax | 607-324-2369
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | D0034818
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD17408
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License Number State | DC
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