MEDICARE: DR. ANUJ ARUN SHAH M.D.

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	207P00000X	Emergency Medicine Physician	D64051	MD

General Provider Information

NPI Number	:	1669415345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANUJ ARUN SHAH M.D.

Provider Business Mailing Address
First Line	:	1500 FOREST GLEN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1483
Country	:	US
Telephone Number	:	301-754-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 FOREST GLEN RD
Second Line	:	HOLY CROSS HOSPITAL, EMERGENCY DEPARTMENT
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1484
Country	:	US
Telephone Number	:	301-754-8500
Fax Number	:

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	06/16/2010

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