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Individual

SHIVANI SOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
79 WAWECUS ST, SUITE 101, NORWICH, CT 06360-2160
(860) 886-2655
(860) 887-9003
Mailing address
79 WAWECUS ST, SUITE 101, NORWICH, CT 06360-2160
(860) 886-2655
(860) 887-9003

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
046556
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010046556CT01
ANTHEM BLUE CROSS BLUE SHIELD OF CT
CT
01
046556
CONNECTICARE, INC
CT
01
9643135
AETNA
01
P00687675
MEDICARE RAILROAD PTAN
01
P3929070
OXFORD
Enumeration date
06/03/2008
Last updated
01/03/2018
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