Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK CHASE SHAW
ActiveDERRICK CHASE SHAW is a Independent Duty Medical Technician healthcare provider located in LUSBY, Maryland. NPI 1336865146 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · LUSBY, MD
Registration Details
- NPI Number
- 1336865146
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2022 (3.8752358977364 yrs)
- Last Updated
- Apr 4, 2023
Practice Information
- Address
-
1185 CORDOVA DRLUSBY, MD, 206574538Browse MD providers · Browse ZIP 20657
- Phone
- 4027053896
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.