MEDICARE: MEGHA C 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	171W00000X	Contractor	PT870819	MI

General Provider Information

NPI Number	:	1134391402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHA C SHAH

Provider Business Mailing Address
First Line	:	13717 HARVEST GLEN WAY
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-6256
Country	:	US
Telephone Number	:	201-680-9926
Fax Number	:

Provider Business Practice Location Address
First Line	:	13717 HARVEST GLEN WAY
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-6256
Country	:	US
Telephone Number	:	201-680-9926
Fax Number	:

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

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	04/24/2026

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Directions to “ MEGHA C SHAH ” Practice Location

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