Provider Demographics
NPI:1780094219
Name:SHAH, HARSHAL P (DO)
Entity type:Individual
Prefix:DR
First Name:HARSHAL
Middle Name:P
Last Name:SHAH
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:8926 WOODYARD RD STE 602
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4235
Mailing Address - Country:US
Mailing Address - Phone:301-868-9414
Mailing Address - Fax:301-868-6055
Practice Address - Street 1:8926 WOODYARD RD STE 602
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4235
Practice Address - Country:US
Practice Address - Phone:301-868-9414
Practice Address - Fax:301-868-6055
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2024-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0102205578207RN0300X
MDH0087253207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology