Provider Demographics
NPI:1285693556
Name:ROSE, SHILPA D (MD)
Entity type:Individual
Prefix:DR
First Name:SHILPA
Middle Name:D
Last Name:ROSE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2002 MEDICAL PKWY STE 320
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7901
Mailing Address - Country:US
Mailing Address - Phone:410-571-8733
Mailing Address - Fax:
Practice Address - Street 1:5454 WISCONSIN AVE STE 1030
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6916
Practice Address - Country:US
Practice Address - Phone:410-571-8733
Practice Address - Fax:410-571-6309
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2017-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD55939207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC409071Medicare ID - Type Unspecified