Individual
MRS. SHIVANI NARENDRA DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2318
Mailing address
361 ANNELISE AVE, SOUTHINGTON, CT 06489-2065
(860) 620-9337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001479
CT
Other
Enumeration date
07/25/2006
Last updated
02/13/2023
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