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DR. LEENA GAUTAM SHAH M.D. NPI 1558415950


NPI Information

NPI: 1558415950
Provider Name: DR. LEENA GAUTAM SHAH, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
40 HART ST
BUILDING A
NEW BRITAIN, CT
ZIP 06052
Phone: (860) 832-8609
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DR. Leena Gautam Shah, M.D. is a gynecology obstetrics gynecology in New Britain, CT. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Leena Gautam Shah, M.D. NPI is 1558415950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

40 HART ST
BUILDING A
NEW BRITAIN, CT
ZIP 06052-743
Phone: (860) 832-8609
Fax: (860) 832-8613

The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology028603CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B39596MEDICARE UPIN
2001286039MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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