OrganizationActive
Shah Associates MD LLC
NPI 1629275557 · Adolescent Medicine (Internal Medicine) Physician · California, MD
Provider details
- NPI number
- 1629275557
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susie Holman, Clinical Coordinator(301) 373-7911
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22576 Macarthur Blvd Ste 354
Breton Medical Center
California, MD 20619-3093
Phone: (301) 737-0500
Fax: (301) 737-3351
Street-level locationGet directions
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.