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Individual

ANISH U SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
038917
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001389172
CT
01
010038917CT01
BCS
CT
01
0804947
UNITED HEALTHCARE
01
1531207002
CIGNA
01
190466
PREFERRED ONE
01
2435963
AETNA
01
772141
CONNECTICARE
01
OV7949
HEALTH NET
CT
01
P2130992
OXFORD
Enumeration date
07/11/2006
Last updated
11/12/2009
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