Individual
SHAMMI K BALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 TALCOTTVILLE RD, VERNON, CT 06066-4617
(860) 645-1100
(860) 533-0041
Mailing address
206 TALCOTTVILLE RD, VERNON, CT 06066-4617
(860) 645-1100
(860) 533-0041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83043
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30036
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/25/2005
Last updated
09/22/2025
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