Organization
DARSHAN J SHAH MD LLC
Active
Parent organization
DARSHAN J SHAH MD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DARSHAN J SHAH MD LLC
Authorized official
PINKI SHAH (BUSINESS MANAGER)
(860) 763-0208
Entity
Organization
Contact information
Practice address
139 HAZARD AVE, BLDG #4, ENFIELD, CT 06082
(860) 783-0208
(860) 763-0224
Mailing address
139 HAZARD AVE, BLDG #4, ENFIELD, CT 06082
(860) 763-0208
(860) 763-0224
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001390
CT
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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