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Individual

DR. SHAHNAZ HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
18 CEDAR ST, NEWINGTON, CT 06111-2647
(860) 667-1244
(860) 666-5153
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 667-1244
(860) 666-5153

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024449
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001244490
CT
05
004215324
CT
01
010024449CT04
BCBS N BCFP PROV ID
CT
01
01024449
CIGNA PROV ID
CT
01
050040
CONNECTICARE PROV ID
CT
01
0V4120
HEALTH NET PROV ID
CT
01
103714
WELLCARE MEDICARE
CT
01
110178633
RAIL ROAD MEDICARE ID
CT
01
1255448155
GHMC GRP NPI ID
CT
01
581417
AETNA REF ID
CT
01
C01373
GHMC GRP MEDICARE ID
CT
01
P1252377
OXFORD PROV ID
CT
Enumeration date
06/28/2005
Last updated
07/09/2007
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