Amish V Shah
MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC


Address: 22590 Shady Ct, California, MD 20619-5009
Phone: 3013737900

Amish V Shah (NPI# 1225057532, PAC ID# 8426002007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1225057532
PAC ID by PECOS 8426002007
Professional Enrollment ID I20050307000389
Full Name Amish V Shah
Organization Legal Name MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC
Address 22590 Shady Ct
California
MD 20619-5009
Phone Number 3013737900
Gender M
Credential MD
Medical School UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year 1997
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 1355667056
Number of Group Practice Members 152
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210028 MEDSTAR SAINT MARY'S HOSPITAL
090011 MEDSTAR WASHINGTON HOSPITAL CENTER
090004 MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
210062 MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER
090001 GEORGE WASHINGTON UNIV HOSPITAL

Other Locations

Address Phone Organization
22590 Shady Ct, California, MD 20619-5009 3013737900 MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC
24035 Three Notch Rd, Hollywood, MD 20636-4871 3013737900 MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC

Organization Information

Organization Legal Name MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC
Physicians 137

Physicians with the same organization

Name Specialty Organization Address
Luis A Velazquez Certified Registered Nurse Anesthetist (crna) Medstar Medical Group-southern Maryland LLC 130 Hospital Rd, Suite 300, Prince Frederick, MD 20678-4057
Moenil Patel Nurse Practitioner Medstar Medical Group-southern Maryland LLC 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534
Lukasz R Kiljanek Internal Medicine Medstar Medical Group-southern Maryland LLC 3581 Old Washington Rd, Suite D, Waldorf, MD 20602-3270
Syed K Hussaini Internal Medicine Medstar Medical Group-southern Maryland LLC 28030 Old Village Rd, Mechanicsville, MD 20659-4288
Sailaja C Nandipati Rheumatology Medstar Medical Group-southern Maryland LLC 3500 Old Washington Rd, 102 Medstar Shah Waldorf Cancer Center, Waldorf, MD 20602-3205
Adele A Fields Diagnostic Radiology Medstar Medical Group-southern Maryland LLC 24035 Three Notch Rd, Hollywood, MD 20636-4871
George B Bren Cardiovascular Disease (cardiology) Medstar Medical Group-southern Maryland LLC 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151
Paul B Berez Internal Medicine Medstar Medical Group-southern Maryland LLC 2200 Defense Hwy 100, Crofton, MD 21114-2458
Michael Edward Perraut Internal Medicine Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
John C Patterson Cardiovascular Disease (cardiology) Medstar Medical Group-southern Maryland LLC 7501 Surratts Rd, Suite 201a, Clinton, MD 20735-3362

Office Location

Street Address 22590 SHADY CT
City CALIFORNIA
State MD
Zip 20619-5009

Physicians in the same location

Name Specialty Organization Address
Michael Edward Perraut Internal Medicine Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
Scaria Mathew Family Medicine Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
John Harvey Vascular Surgery Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
Maunank M Patel Internal Medicine Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
Mary Pride Nurse Practitioner Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
Mary C Magill Nurse Practitioner Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
Naomi R Constantine Nurse Practitioner Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
Gurdeep S Chhabra Hematology/oncology Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
Mark William Mozingo Physician Assistant Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
Dawn M Drury Nurse Practitioner Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
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Physicians in the same zip code

Name Specialty Organization Address
Carmoly T Sanders Optometry Myeyedr Optometry of Maryland LLC 23105 Three Notch Rd, Suite A, California, MD 20619-2417
Nadia K Hopper Physical Therapy Gateau Physical Therapy 23123 Camden Way, California, MD 20619-2447
Meghan J Okoniewski Physical Therapy Gateau Physical Therapy 23123 Camden Way, California, MD 20619-2447
Colleen M Stow Physical Therapy Gateau Physical Therapy 23123 Camden Way, California, MD 20619-2447
Erin Mccarthy Occupational Therapy Personalized Therapy, LLC 22593 Three Notch Rd, California, MD 20619-3054
Susan Barry Qualified Speech Language Pathologist Personalized Therapy, LLC 22593 Three Notch Rd, California, MD 20619-3054
Samantha Yeatman Occupational Therapy Personalized Therapy, LLC 22593 Three Notch Rd, California, MD 20619-3054
Allison Mari Debroisse Physical Therapy Personalized Therapy, LLC 22593 Three Notch Rd, California, MD 20619-3054
Mindi Stavish Qualified Speech Language Pathologist Personalized Therapy, LLC 22593 Three Notch Rd, California, MD 20619-3054
Kelly Barefoot Occupational Therapy Personalized Therapy, LLC 22593 Three Notch Rd, California, MD 20619-3054
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Competitor

Search similar physicians

City CALIFORNIA
Zip Code 20619
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty CALIFORNIA + CARDIOVASCULAR DISEASE (CARDIOLOGY)

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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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