Provider Demographics
NPI:1316172489
Name:SHAH, DEEPIKA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DEEPIKA
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WISCONSIN CIR
Mailing Address - Street 2:SUITE 230
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7003
Mailing Address - Country:US
Mailing Address - Phone:301-215-7100
Mailing Address - Fax:
Practice Address - Street 1:2 WISCONSIN CIR
Practice Address - Street 2:SUITE 230
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7003
Practice Address - Country:US
Practice Address - Phone:301-215-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT194454207R00000X
MA254396207W00000X
DCMD043795207W00000X
NY276306207W00000X
VA0101259050207W00000X
MDD0080341207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine