Manan Udayan Shah
CENTERS FOR ADVANCED ENT CARE LLC


Address: 11705 Berry Rd, Suite 103, Waldorf, MD 20603-5933
Phone: 2404195260

Manan Udayan Shah (NPI# 1679912067, PAC ID# 5597085332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1679912067
PAC ID by PECOS 5597085332
Professional Enrollment ID I20180730002167
Full Name Manan Udayan Shah
Organization Legal Name CENTERS FOR ADVANCED ENT CARE LLC
Address 11705 Berry Rd
Suite 103
Waldorf
MD 20603-5933
Phone Number 2404195260
Gender M
Medical School UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year 2012
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 1658647359
Number of Group Practice Members 115
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4000 Mitchellville Rd, Suite A414, Bowie, MD 20716-3142 3018600985 CENTERS FOR ADVANCED ENT CARE LLC
7400 E Crestline Cir, Suite 100, Greenwood Village, CO 80111-3656 3037923242 ADVANCED EAR, NOSE AND THROAT, PC
9420 Key W Ave, Suite 310, Rockville, MD 20850-6212 3013155888 CENTERS FOR ADVANCED ENT CARE LLC
11705 Berry Rd, Suite 103, Waldorf, MD 20603-5933 2404195260 CENTERS FOR ADVANCED ENT CARE LLC

Organization Information

Organization Legal Name CENTERS FOR ADVANCED ENT CARE LLC
Physicians 112

Physicians with the same organization

Name Specialty Organization Address
Megan R Murphy Qualified Audiologist Centers for Advanced Ent Care LLC 2070 Old Bridge Rd, Suite 103, Lake Ridge, VA 22192-2495
Roraine Bunag Qualified Audiologist Centers for Advanced Ent Care LLC 4000 Mitchellville Rd, Suite A414, Bowie, MD 20716-3142
Brittany Bailey Tuscany Qualified Audiologist Centers for Advanced Ent Care LLC 2002 Medical Pkwy, Suite 230, Annapolis, MD 21401-3282
Jacquelyn C Jackson Qualified Audiologist Centers for Advanced Ent Care LLC 818 W Diamond Ave, Suite 120, Gaithersburg, MD 20878-1450
Angela Marie Redpath Physician Assistant Centers for Advanced Ent Care LLC 120 Sister Pierre Dr, Suite 202, Towson, MD 21204-7525
Virginia L Wise Qualified Audiologist Centers for Advanced Ent Care LLC 163 Thomas Johnson Dr, Suite H, Frederick, MD 21702-4673
David James Hoyt Otolaryngology Centers for Advanced Ent Care LLC 4 A N Ave, Suite 202, Bel Air, MD 21014-2316
Annette M Pham Otolaryngology Centers for Advanced Ent Care LLC 15001 Shady Grove Rd, Suite 100, Rockville, MD 20850-6354
Cynthia A Fannon Qualified Audiologist Centers for Advanced Ent Care LLC 6535 N Charles St, Suite 250, Baltimore, MD 21204-5829
Sanjay Prasad Otolaryngology Centers for Advanced Ent Care LLC 1101 Wootton Pkwy, Suite 900, Rockville, MD 20852-1082

Office Location

Street Address 11705 BERRY RD
SUITE 103
City WALDORF
State MD
Zip 20603-5933

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Name Specialty Organization Address
Nevena Puletic Nurse Practitioner Khosrow Davachi,md PC 45 Saint Particks Dr, Waldorf, MD 20603-4507
Ruth Brozgal Speech Language Pathologist Fox Rehab Slp Md LLC 45 Saint Patricks Dr, Waldorf, MD 20603-4507
Karin Novinger Speech Language Pathologist Fox Rehab Slp Md LLC 45 Saint Patricks Dr, Waldorf, MD 20603-4507
Melinda Sears Speech Language Pathologist Fox Rehab Slp Md LLC 45 Saint Patricks Dr, Waldorf, MD 20603-4507
Ryerson Stinson Occupational Therapy Proflex Physical Therapy of Maryland LLC 10 Saint Patricks Dr, Suite 401, Waldorf, MD 20603-4583
Vabian L Paden Physical Medicine and Rehabilitation Paden-life-care LLC 10 Saint Patricks Dr, Waldorf, MD 20603-4583
Frank Digiovannantonio Occupational Therapy Proflex Physical Therapy of Maryland, LLC 10 Saint Patricks Dr, Waldorf, MD 20603-4583
Dainty J Jackson Family Medicine 10 Saint Patricks Dr, Suite 502, Waldorf, MD 20603-4584
Hadia Riaz Choudhary Optometry Frederick J Sauerburger Md Pa 11345 Pembrooke Sq, Suite 105, Waldorf, MD 20603-4804
Frederick J Sauerburger Ophthalmology Frederick J Sauerburger Md Pa 11345 Pembrooke Sq, Suite 105, Waldorf, MD 20603-4804
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Competitor

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City WALDORF
Zip Code 20603
Specialty OTOLARYNGOLOGY
City + Specialty WALDORF + OTOLARYNGOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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