Provider Demographics
NPI:1588403745
Name:ANDAMAN, SHAH NAMEH CATUBIG (MD)
Entity type:Individual
Prefix:
First Name:SHAH NAMEH
Middle Name:CATUBIG
Last Name:ANDAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHAH NAMEH
Other - Middle Name:MEJIA
Other - Last Name:CATUBIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 SOUTH CATON AVENUE
Mailing Address - Street 2:ASCENCION SAINT AGNES HOSPITAL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229
Mailing Address - Country:US
Mailing Address - Phone:667-234-5724
Mailing Address - Fax:
Practice Address - Street 1:900 SOUTH CATON AVENUE
Practice Address - Street 2:ASCENCION SAINT AGNES HOSPITAL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229
Practice Address - Country:US
Practice Address - Phone:667-234-5724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program