Individual
DARSHAN J SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 HAZARD AVE, BLDG 4, SUITE # 14, ENFIELD, CT 06082-4585
(860) 763-0208
(860) 763-0224
Mailing address
139 HAZARD AVE, BLDG 4, SUITE # 14, ENFIELD, CT 06082-4585
(860) 763-0208
(860) 763-0224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038479
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100384479-CT01
BCBS
CT
01
—
01038479
CIGNA
CT
01
—
038479
CONNECTICARE
CT
01
—
0V7377
HEALTH NET
CT
05
—
1384792
—
CT
01
—
138479200
BLUECARE FAMILY PLAN
CT
01
—
61373363
UNITED HEALTH CARE
CT
01
—
7287123
AETNA
CT
01
—
P2097192
OXFORD HEALTH PLANS
CT
Enumeration date
09/02/2005
Last updated
03/26/2012
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