Individual
J KEVIN SHUSHTARI
Active
Individual
J KEVIN SHUSHTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036002
CT
207R00000X
Internal Medicine Physician
ME121844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001360023
—
CT
01
—
010036002CT01
BLUE CROSS
CT
01
—
110247602
RAILROAD MEDICARE
—
01
—
1221925
UNITED
—
01
—
2V2738
HEALTHNET
—
01
—
3114253
AETNA
—
01
—
P2832183
OXFORD
—
Enumeration date
02/23/2006
Last updated
08/27/2026
Update your record
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