Provider Demographics
NPI:1962548651
Name:SHAH, AMI AALOK (MD, MHS)
Entity type:Individual
Prefix:DR
First Name:AMI
Middle Name:AALOK
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5501 HOPKINS BAYVIEW CIR
Mailing Address - Street 2:ROOM 1B32
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-6821
Mailing Address - Country:US
Mailing Address - Phone:410-550-7715
Mailing Address - Fax:410-550-1363
Practice Address - Street 1:5501 HOPKINS BAYVIEW CIR
Practice Address - Street 2:ROOM 1B32
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-6821
Practice Address - Country:US
Practice Address - Phone:410-550-7715
Practice Address - Fax:410-550-1363
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA87910207RR0500X
MDD69098207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD417362700Medicaid
MD417362700Medicaid