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Individual
SHANTA SHEPHERD
Active
Individual
SHANTA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
68747
CT
208800000X
Urology Physician
MD496871
PA
Other
Enumeration date
04/01/2016
Last updated
09/04/2026
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