Individual
TEJAL KOTHARI SHAIKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
13 CHURCH RD, EAST GRANBY, CT 06026-9406
(860) 653-4526
Mailing address
PO BOX 518, EAST GRANBY, CT 06026-0518
(860) 653-4526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66749
CT
Other
Enumeration date
08/28/2016
Last updated
07/12/2023
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