Individual
KINNARI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-2210
(860) 679-2000
Mailing address
18854 AFTON AVE, SARATOGA, CA 95070-4653
(408) 569-2390
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14392
CT
Other
Enumeration date
03/25/2024
Last updated
05/21/2025
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