Individual
ANISH U SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 WAWECUS ST, SUITE 105, NORWICH, CT 06360
(860) 886-0161
(860) 889-5999
Mailing address
79 WAWECUS STREET, SUITE 105, NORWICH, CT 06360
(860) 886-0161
(860) 889-5999
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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