Individual
ARVIND T SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 HIGHLAND AVE, STE 1, WATERBURY, CT 06708
(203) 755-9300
(203) 754-3196
Mailing address
417 HIGHLAND AVE, STE 1, WATERBURY, CT 06708
(203) 755-9300
(203) 754-3196
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
026729
CT
2084P0804X
Child & Adolescent Psychiatry Physician
026729
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010026729CT
BLUE CROSS BLUE SHIELD
CT
Enumeration date
09/20/2006
Last updated
03/08/2010
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