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Organization
ELEVATE UROLOGY LLC
Active
Organization
ELEVATE UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTA SHEPHERD MD (OWNER)
(860) 266-5550
Entity
Organization
Contact information
Practice address
730 HEBRON AVE STE 10, GLASTONBURY, CT 06033-5016
(860) 266-5550
(860) 266-5511
Mailing address
730 HEBRON AVE STE 10, GLASTONBURY, CT 06033-5016
(860) 266-5550
(860) 266-5511
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
09/02/2026
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