Individual
DR. TANYA DHIREN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(800) 777-7904
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49023
CT
Other
Enumeration date
03/27/2008
Last updated
05/27/2021
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