| Mushtaq Shah | |
|
7227 Hanover Pkwy Ste A Greenbelt MD 20770-2025 | |
| (301) 220-0606 | |
| (301) 513-9049 |
| Full Name | Mushtaq Shah |
|---|---|
| Speciality | Internal Medicine |
| Location | 7227 Hanover Pkwy, Greenbelt, Maryland |
| Authorized Official Name and Position | Mushtaq A Shah (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3012200606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mushtaq Shah 7227 Hanover Pkwy Ste A Greenbelt MD 20770-2025 Ph: (301) 220-0606 | Mushtaq Shah 7227 Hanover Pkwy Ste A Greenbelt MD 20770-2025 Ph: (301) 220-0606 |
| NPI Number | 1023369980 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 01/23/2014 |
| Medicare PECOS PAC ID | 9931344314 |
|---|---|
| Medicare Enrollment ID | O20130408000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023369980 | NPI | - | NPPES |
| 12140001 | Other | DC | CAREFIRST |
| 1043396633 | Other | DC | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D21843 (Maryland) | Primary |
| Provider Name | Showkat Bashir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740242106 PECOS PAC ID: 3274518311 Enrollment ID: I20040701000664 |
| Provider Name | Mushtaq A Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043396633 PECOS PAC ID: 0446154165 Enrollment ID: I20040712000466 |
| Provider Name | Neelofur Q Shah |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578597845 PECOS PAC ID: 9133119266 Enrollment ID: I20160725002382 |
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