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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MUBARIK AHMAD SHAH, MD

Deactivated

MUBARIK AHMAD SHAH, MD is a General Surgery healthcare provider located in PORT TOBACCO, Maryland. NPI 1538152624 is deactivated in the NPPES registry. Verify at CMS.

General Surgery · PORT TOBACCO, MD

This NPI has been deactivated. The record was deactivated on March 25, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1538152624
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2005 (0.58356164383562 yrs)
Last Updated
Apr 8, 2014
Deactivated
Mar 25, 2006
Licenses
ME89362 (FL)
ME89362 (FL)

Practice Information

Address
6248 STONE HILL CT
PORT TOBACCO, MD, 206773403
Browse MD providers · Browse ZIP 20677
Phone
2679093310
Fax
3019344678
Primary Specialty
General Surgery
208600000X
Additional Specialty
Vascular Surgery
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.