Individual
DR. LEENA GAUTAM SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 HART ST, BUILDING A, NEW BRITAIN, CT 06052-1743
(860) 832-8609
(860) 832-8613
Mailing address
40 HART ST, BUILDING A, NEW BRITAIN, CT 06052-1743
(860) 832-8609
(860) 832-8613
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
028603
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001286039
—
CT
Enumeration date
01/22/2007
Last updated
07/08/2007
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