Individual
SHASHANK NAGARAJ PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVENUE, UCONN HEALTH, DEPARTMENT OF SURGERY, FARMINGTON, CT 06030-8232
(860) 679-4617
Mailing address
263 FARMINGTON AVENUE, DEPARTMENT OF SURGERY, FARMINGTON, CT 06030-8232
(860) 679-4617
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ML61293427
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
06/27/2023
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