Individual
MR. NIKIT Y SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
52 WASHINGTON AVE, SUITE 4, NORTH HAVEN, CT 06473-1724
(203) 672-2800
Mailing address
52 WASHINGTON AVE, SUITE 4, NORTH HAVEN, CT 06473-1724
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002815
CT
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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