Individual
MR. SHIBA P JHAWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 HAZARD AVE, STE 107, ENFIELD, CT 06082
(860) 749-2258
Mailing address
146 HAZARD AVE, STE 107, ENFIELD, CT 06082
(860) 749-2258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
028112
CT
207RC0000X
Cardiovascular Disease Physician
Primary
028112
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00128112000
BLUE CARE FAMILY
—
01
—
010028112CT01
BCBS
—
01
—
01228112
CIGNA
—
01
—
028112
CONNECTICARE
—
01
—
589331
AETNA
—
01
—
HAP310
OXFORD
—
01
—
OR3709
HEALTHNET
—
Enumeration date
02/14/2006
Last updated
04/16/2013
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